Olivia Lares DDS PC

NPI #1932451754 in Chicago, Illinois

Provider Information

NPI Number: 1932451754
Entity Type: Organization
Organization Name: Olivia Lares DDS PC
Primary Specialty: Dentist
Enumeration Date: Oct 3, 2012
Last Updated: Oct 3, 2012

Practice Location

Address: 2539 N KEDZIE BLVD # 2
City: Chicago
State: Illinois
ZIP Code: 60647-1670
Phone: (773) 235-3292

Authorized Official

Name: OLIVIA LARES, D.D.S
Title: PRESIDENT
Phone: (312) 493-7988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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