Provider Demographics
NPI:1477571313
Name:ZALDUENDO, MARIA E (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:E
Last Name:ZALDUENDO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 E OAK ST STE 340
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-1288
Mailing Address - Country:US
Mailing Address - Phone:312-642-0066
Mailing Address - Fax:312-642-1398
Practice Address - Street 1:46 E OAK ST
Practice Address - Street 2:SUITE 350
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-1238
Practice Address - Country:US
Practice Address - Phone:312-642-0066
Practice Address - Fax:312-642-1398
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice