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Individual

DR. DAVID A CIENIAWA SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5330 S ARCHER AVE, CHICAGO, IL 60632-4949
(773) 582-9900
Mailing address
5330 S ARCHER AVE, CHICAGO, IL 60632-4949
(773) 582-9900

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020650
IL

Other

Enumeration date
07/29/2015
Last updated
07/29/2015
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