Individual
DR. BERJ LATCHINIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4317 S ASHLAND AVE, CHICAGO, IL 60609-3140
(773) 832-5716
Mailing address
4317 S ASHLAND AVE, CHICAGO, IL 60609-3140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033741
IL
Other
Enumeration date
06/08/2022
Last updated
05/25/2023
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