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Individual

MRS. JOVITA M KERELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
9525 S 79TH AVE, HICKORY HILLS, IL 60457-2261
(708) 598-8101
(708) 598-8165
Mailing address
9525 S 79TH AVE, HICKORY HILLS, IL 60457
(708) 598-8101
(708) 598-8165

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

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