Individual
DR. ANNA M. PELAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
647 N 1ST BANK DR, PALATINE, IL 60067-8111
(847) 358-2477
(847) 358-1217
Mailing address
647 N 1ST BANK DR, PALATINE, IL 60067-8111
(847) 358-2477
(847) 358-1217
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
0193854900
IL
1223G0001X
General Practice Dentistry
Primary
0193854900
IL
1223P0221X
Pediatric Dentistry
0193854900
IL
1223P0300X
Periodontics
0193854900
IL
1223P0700X
Prosthodontics
0193854900
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0193584900
IL
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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