Individual
DR. DE'AVLIN V OLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
850 S WABASH AVE, SUITE 240, CHICAGO, IL 60605-3641
(312) 356-4700
(312) 356-4770
Mailing address
850 S WABASH AVE, SUITE 240, CHICAGO, IL 60605-3641
(312) 356-4700
(312) 356-4770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025660
IL
1223P0300X
Periodontics
021002247
IL
1223P0300X
Periodontics
12010885
IN
1223P0300X
Periodontics
2901018231
MI
Other
Enumeration date
09/29/2006
Last updated
01/25/2024
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