Individual
MARIELL DEMERTZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4833 CHURCH ST, SKOKIE, IL 60077-1357
(847) 673-7118
Mailing address
400 N LA SALLE DR APT 4109, CHICAGO, IL 60654-8537
(224) 616-7592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033861
IL
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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