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Organization

EMILY TANEVA DDS MS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILIYA TANEVA (PRESIDENT)
(312) 504-7972
Entity
Organization

Contact information

Practice address
73 E LAKE ST APT 3508, CHICAGO, IL 60601-4800
(312) 504-7972
Mailing address
73 E LAKE ST APT 3508, CHICAGO, IL 60601-4800
(312) 504-7972

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019029752
IL
Enumeration date
02/03/2016
Last updated
02/03/2016
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