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Western Dental Group Pc
Periodontist in Chicago, Illinois
NPI 1669899613

Western Dental Group Pc is a Periodontist based in Chicago, IL and is specialized in Periodontics. Western Dental Group Pc practices in Chicago, IL. The NPI Number for Western Dental Group Pc is 1669899613 and holds a License No. 021002372 (Illinois).

The current practice location address for Western Dental Group Pc is 3935 N Western Ave, Chicago, IL and can be reached out via phone at 773-588-1141 and via fax at 773-588-1143.

Location: 3935 N Western Ave, Chicago, IL, 60618-3761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669899613
Provider Name
Western Dental Group Pc
Credential
Provider Entity Type
Organization
Address
3935 N Western Ave, Chicago, IL, 60618-3761
Phone Number
773-588-1141
Fax Number
773-588-1143
Provider Enumeration Date
03/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3935 N Western Ave
City
Chicago
State
Illinois
Zip
60618-3761
Phone Number
773-588-1141
Fax Number
773-588-1143
person
Provider Business Mailing Address Details
Address
3935 N Western Ave
City
Chicago
State
Illinois
Zip
60618-3761
Phone Number
773-588-1141
Fax Number
773-588-1143
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021002372 (Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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