Individual
MISS BLEIDY MARCELA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4148 S ARCHER AVE, CHICAGO, IL 60632-1825
(773) 247-3345
Mailing address
401 W FULLERTON PKWY APT 606E, CHICAGO, IL 60614-2802
(773) 391-1478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028633
IL
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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