GABRIEL ERNEST VIDA

CHICAGO, IL
NPI1053567156
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019020849)
Enumeration Date2008-08-08
Last Update Date2009-11-30
Business Address
-- GABRIEL ERNEST VIDA DDS
3855 W NORTH AVE
CHICAGO, IL 60647-4640
Phone number: 773-782-8900
Mailing Address
-- GABRIEL ERNEST VIDA DDS
3855 W NORTH AVE
CHICAGO, IL 60647-4640
Phone number: 773-782-8900
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