Individual
SELIN BENJAMIN BOCIO RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2424 N 8TH ST, PEKIN, IL 61554-1547
(309) 382-6404
Mailing address
808 S MICHIGAN AVE, CHICAGO, IL 60605-2199
(857) 300-9796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034728
IL
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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