NPI 1003047929
Sodabeh Etminan, DMD
Practice location
- Address
- 7131 S Jeffery Blvd STE a, Chicago, IL 60649-2176
- Phone
- (773) 256-0526
- Mailing address
- 1220 S Wood St, Chicago, IL 60608-1202
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003047929
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jul 2009
- Record last updated
- 28 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.