Individual
DR. BONCIEL LATRICE GRIFFIN-BURRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10019 S WESTERN AVE, CHICAGO, IL 60643-1925
(773) 728-5333
Mailing address
4801 S LANGLEY AVE, CHICAGO, IL 60615-1515
(773) 640-0533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-025726
IL
Other
Enumeration date
08/31/2006
Last updated
11/21/2013
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