Individual
DR. EDITHA R A REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3111 N MILWAUKEE AVENUE, CHICAGO, IL 60618
(773) 588-9705
(770) 588-9706
Mailing address
PO BOX 10659, CHICAGO, IL 60610
(312) 550-6166
(772) 772-4092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020762
IL
Other
Enumeration date
02/08/2007
Last updated
03/12/2010
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