Individual
MARK M. STORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 560, CHICAGO, IL 60631-3745
(773) 763-5353
(773) 763-3565
Mailing address
7447 W TALCOTT AVE, SUITE 560, CHICAGO, IL 60631-3745
(773) 763-5353
(773) 763-3565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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