Individual
DR. ANNA KARISSA TICZON REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
999 N PLAZA DR, SUITE #120, SCHAUMBURG, IL 60173-6022
(847) 330-9990
Mailing address
999 N PLAZA DR, SUITE #120, SCHAUMBURG, IL 60173-6022
(847) 330-9990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030395
IL
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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