DR. Sodabeh Etminan, DMD

NPI #1003047929 in Chicago, Illinois

Provider Information

NPI Number: 1003047929
Entity Type: Individual
Name: DR. Sodabeh Etminan, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 28, 2009
Last Updated: Sep 28, 2016

Practice Location

Address: 7131 S JEFFERY BLVD STE A
City: Chicago
State: Illinois
ZIP Code: 60649-2176
Phone: (773) 256-0526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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