KATHARINA ATMADJA

CHICAGO, IL
NPI1265818215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  136-000193)
Enumeration Date2015-07-31
Last Update Date2015-07-31
Business Address
-- KATHARINA ATMADJA
801 S PAULINA ST ROOM 301
CHICAGO, IL 60612-7210
Phone number: 312-996-1036
Mailing Address
-- KATHARINA ATMADJA
801 S PAULINA ST ROOM 301
CHICAGO, IL 60612-7210
Phone number:
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