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NPI Code Detail

MEDICARE: AGNIESZKA KUCHARSKA DMD

MEDICARE:   AGNIESZKA  KUCHARSKA  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryIL

General Provider Information

NPI Number : 1730357823
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGNIESZKA KUCHARSKA DMD
Provider Business Mailing Address
First Line : 7327 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60634-3547
Country : US
Telephone Number : 773-589-1062
Fax Number :
Provider Business Practice Location Address
First Line : 7327 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60634-3547
Country : US
Telephone Number : 773-589-1062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2008
Last Update Date : 02/12/2008

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Directions to “ AGNIESZKA KUCHARSKA DMD” Practice Location

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