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Individual

MARAL KRIKORIAN ATAMIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5961 N LINCOLN AVE STE 103, CHICAGO, IL 60659-3758
(773) 293-6780
Mailing address
1702 MILL ST APT 502, DES PLAINES, IL 60016-4740

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032128
IL

Other

Enumeration date
06/18/2019
Last updated
12/20/2019
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