Mariya Ivanova Manova DMD

NPI 1427239516 - Dentist - 122300000X

NPI Details
NPI 1427239516
Gender Female
Enumeration Date 11/17/2007
Last Updated 12/23/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
2746 W FULLERTON AVE
CHICAGO IL, 60647-3059, US
Phone (501) 773-1233
Fax
Business Location
502 MAPLE LN
DARIEN IL, 60561-4067, US
Phone (501) 773-1233
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019027529
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According to our database, Dr. Mariya Ivanova Manova DMD NPI is 1427239516, taxonomy code is 122300000X and license number is 019027529, license state is located at Illinois. Mariya Ivanova Manova DMD physically located at 2746 W Fullerton Ave, Chicago IL, 60647-3059. NPI Number Mariya Ivanova Manova DMD has the Individual type.

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1427239516 NPI number is provided on an as is basis without warranty of any kind. 1427239516 is maintained by the National Plan & Provider Enumeration System. The contents of Mariya Ivanova Manova DMD are for informational purposes only.