Mary Kho Vivit DDS

NPI 1013057405 - Dentist - 1223G0001X

NPI Details
NPI 1013057405
Gender Female
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3338 W MONTROSE AVE
CHICAGO IL, 60618-1247, US
Phone (773) 478-9393
Fax (773) 478-9303
Business Location
3338 W MONTROSE AVE
CHICAGO IL, 60618-1247, US
Phone (773) 478-9393
Fax (773) 478-9303
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019023398
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According to our database, Dr. Mary Kho Vivit DDS NPI is 1013057405, taxonomy code is 1223G0001X and license number is 019023398, license state is located at Illinois. Mary Kho Vivit DDS physically located at 3338 W Montrose Ave, Chicago IL, 60618-1247. NPI Number Mary Kho Vivit DDS has the Individual type.

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1013057405 NPI number is provided on an as is basis without warranty of any kind. 1013057405 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Kho Vivit DDS are for informational purposes only.