Individual
DR. JESSE ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5805 W. 35TH, CICERO, IL 60804
(708) 477-6207
Mailing address
3520 S. MARSHFIELD, CHICAGO, IL 60609
(312) 478-2691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027256
IL
Other
Enumeration date
02/26/2007
Last updated
08/27/2021
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