Individual
IRINA AYNGORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
846 N ELMHURST RD, PROSPECT HEIGHTS FAMILY DENTAL, PROSPECT HEIGHTS, IL 60070-1132
(847) 229-7988
(847) 229-7985
Mailing address
6919 LOREL AVE, SKOKIE, IL 60077-3429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024772
IL
Other
Enumeration date
01/29/2007
Last updated
09/30/2010
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