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Organization

ORLEANYS DEL CARMEN DDS PC

Active
Other names
Chicago Avenue Dental Group LTD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ORLEANYS DEL CARMEN DDS (PRESIDENT)
(773) 276-0633
Entity
Organization

Contact information

Practice address
1802 W CHICAGO AVE, SUIT 6, CHICAGO, IL 60622-5512
(773) 276-0633
(773) 276-0687
Mailing address
1802 W CHICAGO AVE, SUIT 6, CHICAGO, IL 60622-5512
(773) 276-0633
(773) 276-0687

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019027351
IL

Other

Enumeration date
02/16/2010
Last updated
02/16/2010
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