Individual
CLAUDIA PATRICIA PICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1426 W BELMONT AVE, CHICAGO, IL 60657-6898
(773) 528-0068
(773) 528-0088
Mailing address
1426 W BELMONT AVE, CHICAGO, IL 60657-6898
(773) 528-0068
(773) 528-0088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029159
IL
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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