Gabriel Ernest Vida, DDS

NPI #1053567156 in Chicago, Illinois

Provider Information

NPI Number
1053567156
Entity Type
Individual
Name
Gabriel Ernest Vida, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 8, 2008
Last Updated
Nov 30, 2009

Practice Location

Address
3855 W NORTH AVE
ZIP Code
60647-4640
Phone
(773) 782-8900

Specialties & Taxonomy Codes

Specialty
Dentist

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