Individual
MARIA CAROLINA CUEVAS-NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Mailing address
555 31ST ST, SUITE 211-R, DOWNERS GROVE, IL 60515-1235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
136000206
IL
122300000X
Dentist
DL12079
MA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
019-031959
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
019-031959
IL
Other
Enumeration date
10/03/2013
Last updated
04/22/2021
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