Individual
PAUL BUENVENIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 E WASHINGTON ST, 3001, CHICAGO, IL 60602-2103
(312) 407-9900
Mailing address
3750 N LAKE SHORE DR APT 13C, CHICAGO, IL 60613-4229
(708) 400-2169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023430
IL
Other
Enumeration date
08/18/2008
Last updated
05/03/2021
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