Individual
DR. OPHELIA K. CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
570 E 115TH ST, CHICAGO, IL 60628-5740
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023713
IL
Other
Enumeration date
07/17/2008
Last updated
03/25/2020
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