person
Paul Ethan Wine, DDS
General Practice Dentistry in Chicago, Illinois
NPI 1316093438

Paul Ethan Wine is a General Practice Dentistry based in Chicago, IL and is specialized in General Practice. Paul Ethan Wine practices in Chicago, IL and has the professional credentials of DDS. The NPI Number for Paul Ethan Wine is 1316093438 and holds a License No. (Illinois).

The current practice location address for Paul Ethan Wine is 2632 W Division St, Chicago, IL and can be reached out via phone at 773-235-0980 and via fax at 773-235-1249.

Location: 2632 W Division St, Chicago, IL, 60622-2850
person
Provider Profile Details
NPI Number
1316093438
Provider Name
Paul Ethan Wine
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2632 W Division St, Chicago, IL, 60622-2850
Phone Number
773-235-0980
Fax Number
773-235-1249
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2632 W Division St
City
State
Zip
60622-2850
Phone Number
773-235-0980
Fax Number
773-235-1249
person
Provider Business Mailing Address Details
Address
2632 W Division St
City
State
Zip
60622-2850
Phone Number
773-235-0980
Fax Number
773-235-1249
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
(Illinois)
Definition
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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