Individual
JOSEPH DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5307 N HARLEM AVE, CHICAGO, IL 60656-1805
(773) 774-4331
Mailing address
6220 177TH ST, TINLEY PARK, IL 60477-4318
(708) 910-8719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.036199
IL
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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