THAIZE LARA MELO

CHICAGO, IL
NPI1003130816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019.028216)
Enumeration Date2010-03-23
Last Update Date2013-11-21
Business Address
-- THAIZE LARA MELO DDS
3 NORTH ABERDEEN ST APARTMENT 405
CHICAGO, IL 60607-2243
Phone number: 312-841-2661
Mailing Address
-- THAIZE LARA MELO DDS
3 NORTH ABERDEEN ST APARTMENT 405
CHICAGO, IL 60607-2243
Phone number: 312-841-2661
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