Individual
DR. GABRIELA BALTIERRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4900 S ARCHER AVE, CHICAGO, IL 60632-3663
(773) 582-7200
(773) 582-4148
Mailing address
4900 S ARCHER AVE, CHICAGO, IL 60632-3663
(773) 582-7200
(773) 582-4148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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