HOWARD L BLIVAISS

CHICAGO, IL
NPI1922168954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019017905)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
Dr. HOWARD L BLIVAISS dds
3500 W PETERSON AVE SUITE 200
CHICAGO, IL 60659-3306
Phone number: 773-509-1234
Mailing Address
Dr. HOWARD L BLIVAISS dds
3500 W PETERSON AVE SUITE 200
CHICAGO, IL 60659-3306
Phone number: 773-509-1234