Individual
DR. AMY SLIWA LIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
403 S HI LUSI AVE, MOUNT PROSPECT, IL 60056-3741
(847) 590-0591
Mailing address
403 S HI LUSI AVE, MOUNT PROSPECT, IL 60056-3741
(847) 590-0591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024796
IL
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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