DENTAL PROFILE

General Practice Dentistry

NPI: 1558532861Organization

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

Contact & Hours

Address: 2556 W NORTH AVE
CHICAGO, IL 60647
Phone: (773) 782-0014

Quick Facts

NPI: 1558532861
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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