Individual
DR. ANDREA VENIZELOS NUNNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
801 S PAULINA ST, ROOM 304 G, CHICAGO, IL 60612-7210
(312) 996-7514
Mailing address
1234 N WOLCOTT AVE, APT 1, CHICAGO, IL 60622-3882
(216) 470-7767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029185
IL
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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