Individual provider · Type 1 NPI

Kesia Keiko Asami de Souza, DDS

General Practice Dentistry · Chicago, IL

NPI number 1629645908 Active

Practice location

2340 N California Ave Ste A
Chicago, IL 60647-6622

Call (773) 687-8377 Map

Mailing address

436 E North Water St Unit D
Chicago, IL 60611-5559

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019.033113 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1629645908

Kesia Keiko Asami de Souza, DDS's National Provider Identifier is 1629645908, issued on Jun 7, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 12, 2021.