institution
Wicker Park Dental Llc
Dental Clinic/Center in Chicago, Illinois
NPI 1326349770

Wicker Park Dental Llc is a Dental Clinic/Center based in Chicago, IL and is specialized in Dental. Wicker Park Dental Llc practices in Chicago, IL. The NPI Number for Wicker Park Dental Llc is 1326349770 and holds a License No. 019016946 (Illinois).

The current practice location address for Wicker Park Dental Llc is 1738 W North Ave, Chicago, IL and can be reached out via phone at 773-276-5566 and via fax at 773-276-8780.

Location: 1738 W North Ave, Chicago, IL, 60622-2147
institution
Provider Profile Details
NPI Number
1326349770
Provider Name
Wicker Park Dental Llc
Credential
Provider Entity Type
Organization
Address
1738 W North Ave, Chicago, IL, 60622-2147
Phone Number
773-276-5566
Fax Number
773-276-8780
Provider Enumeration Date
11/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1738 W North Ave
City
State
Zip
60622-2147
Phone Number
773-276-5566
Fax Number
773-276-8780
person
Provider Business Mailing Address Details
Address
1738 W North Ave
City
State
Zip
60622-2147
Phone Number
773-276-5566
Fax Number
773-276-8780
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
019016946 (Illinois)
Definition
Definition to come...
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