Individual
MRS. MILICA MINA MILICEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
3116 OAK PARK AVE, BERYN, IL 60402
(872) 256-2616
Mailing address
3116 OAK PARK AVE, BERWYN, IL 60402
(630) 244-2132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032178
IL
Other
Enumeration date
06/26/2019
Last updated
12/07/2022
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