Individual
LARA ADAMILKA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611-4494
(312) 227-6050
Mailing address
215 EAST ST, DECORAH, IA 52101-1308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034275
IL
Other
Enumeration date
03/22/2023
Last updated
06/22/2023
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