Organization
IRENE GULA DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE GULA DDS (PRESIDENT)
(773) 631-6802
Entity
Organization
Contact information
Practice address
6304 N NAGLE AVE, CHICAGO, IL 60646-3614
(773) 631-6802
Mailing address
6304 N NAGLE AVE, CHICAGO, IL 60646-3614
(773) 631-6802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
091025314
IL
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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