Individual
MARIBEL REYES DE LOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
UNIVERSITY OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY, 801 S PAULINA MC 850, CHICAGO, IL 60612
(312) 996-7531
(970) 867-7607
Mailing address
801 S PAULINA ST, CHICAGO, IL 60612-7210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8742
CO
1223P0221X
Pediatric Dentistry
019-025899
IL
1223P0221X
Pediatric Dentistry
Primary
021002496
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64178242
—
CO
Enumeration date
02/06/2006
Last updated
05/15/2020
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