Individual
DR. ALTA E. MEKAELIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
135 N IL ROUTE 21, GURNEE, IL 60031-3808
(847) 623-2340
(847) 623-2384
Mailing address
135 NORTH ROUTE MILWAUKEE, GURNEE, IL 60031
(847) 623-2340
(847) 623-2384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20140
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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