Individual
ANA KARINA BEDRAN-RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST, ROOM 531, CHICAGO, IL 60612-7210
(312) 413-9581
(312) 996-3535
Mailing address
801 S PAULINA ST, ROOM 531, CHICAGO, IL 60612-7210
(312) 413-9581
(312) 996-3535
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
136.000113
IL
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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