Individual
DR. AGATHA NATASHA DZIEDZIECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 E WALTON ST, CHICAGO, IL 60611-1448
(312) 925-7995
Mailing address
2058 N BURLING ST APT 3, CHICAGO, IL 60614-4412
(312) 925-7995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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