DR. Alta E. Mekaelian, D.D.S.

NPI #1891814695 in Gurnee, Illinois

Provider Information

NPI Number
1891814695
Entity Type
Individual
Name
DR. Alta E. Mekaelian, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
135 N IL ROUTE 21
City
Gurnee
ZIP Code
60031-3808
Phone
(847) 623-2340

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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