PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC

Periodontics

NPI: 1386098390Organization

Specialties, Licenses & Credentials

Dental Clinic/Center

Clinic/Center — Dental

Code: 261QD0000X

PeriodonticsPrimary

Dentist — Periodontics

Code: 1223P0300X

021002676(IL)021001938(IL)

Oral and Maxillofacial Surgery (Dentist)

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

021002351(IL)

Contact & Hours

Address: 1009 W WEBSTER AVE
CHICAGO, IL 60614
Phone: (630) 627-3930

Quick Facts

NPI: 1386098390
Entity Type: Organization
Medicare: Not confirmed
Specialties: 4
Locations: 1

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