BENJAMIN LOUIS PALLA

CHICAGO, IL
NPI1679073134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  019.031774)
Enumeration Date2018-02-20
Last Update Date2018-07-05
Business Address
BENJAMIN LOUIS PALLA DMD
801 S PAULINA ST
CHICAGO, IL 60612
Phone number: 312-996-1052
Mailing Address
BENJAMIN LOUIS PALLA DMD
5828 N PAULINA ST APT 2S
CHICAGO, IL 60660-3278
Phone number:
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