Individual
DR. FABIANA MARIA ESPINDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6153 S WESTERN AVE, CHICAGO, IL 60636-2047
(773) 677-7903
Mailing address
5202 S DREXEL AVE, CHICAGO, IL 60615-3721
(773) 677-7903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027849
IL
1223G0001X
General Practice Dentistry
DN 18146
FL
Other
Enumeration date
09/20/2007
Last updated
01/28/2009
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