Yelena M Revich DDS Ltd
NPI #1326210998 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1326210998
- Entity Type
- Organization
- Organization Name
- Yelena M Revich DDS Ltd
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 24, 2008
- Last Updated
- Mar 24, 2008
Practice Location
- Address
- 1455 E GOLF RD
- Address 2
- # 209
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-1250
- Phone
- (847) 296-3733
Authorized Official
- Name
- DR. YELENA M REVICH, DDS
- Title
- PRESIDENT
- Phone
- (847) 494-5819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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