Individual
MS. CARY DENISE MANAOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 N CALIFORNIA AVE, CHICAGO, IL 60625-7014
(312) 666-6312
Mailing address
5215 N CALIFORNIA AVE, CHICAGO, IL 60625-7014
(312) 666-6312
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020012690
IL
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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