NPI 1053725606

Kristen Vlagos, DDS

Practitioner General Practice Dentistry Westchester, IL

Practice location

Address: 10215 W Roosevelt Rd, Westchester, IL 60154-2576
Phone: (708) 562-5621
Mailing address: 2219 W Chicago Ave, Chicago, IL 60622-4795

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 019028730 (IL)

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Registry record

NPI: 1053725606
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2014
Record last updated: 11 Jun 2014

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.