Individual
TAMARA OWEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5333 N CLARK ST, CHICAGO, IL 60640-2121
(773) 728-5333
Mailing address
5333 N CLARK ST, CHICAGO, IL 60640-2121
(773) 340-8318
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019029015
IL
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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