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Individual

MRS. AMPARO CABUGWASON HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
6455 N LINCOLN AVE, LINCOLNWOOD, IL 60712-4000
(847) 679-8086
(847) 675-1063
Mailing address
6029 N CAMPBELL AVE, CHICAGO, IL 60659
(773) 764-3382

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
11/24/2006
Last updated
07/08/2007
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