Provider Demographics
NPI:1154772473
Name:ROJAS, MOLLIE KATHLEEN (DMD)
Entity type:Individual
Prefix:DR
First Name:MOLLIE
Middle Name:KATHLEEN
Last Name:ROJAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 NORTH MICHIGAN AVENUE, SUITE 910
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-266-9487
Mailing Address - Fax:312-266-9794
Practice Address - Street 1:737 NORTH MICHIGAN AVENUE, SUITE 910
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-266-9487
Practice Address - Fax:312-266-9794
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.030728122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist