Provider Demographics
NPI:1831340512
Name:CARVALHO, MARIA-MARCIA ARAUJO (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIA-MARCIA
Middle Name:ARAUJO
Last Name:CARVALHO
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 1:479 N HARLEM AVE APT 1324
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-6419
Mailing Address - Country:US
Mailing Address - Phone:312-608-8088
Mailing Address - Fax:
Practice Address - Street 1:5919 W CERMAK RD
Practice Address - Street 2:
Practice Address - City:CICERO
Practice Address - State:IL
Practice Address - Zip Code:60804-2136
Practice Address - Country:US
Practice Address - Phone:708-222-6600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN240121223G0001X
IL019027787122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice