institution
Humboldt Community Dental Pc
Dental Clinic/Center in Chicago, Illinois
NPI 1942490149

Humboldt Community Dental Pc is a Dental Clinic/Center based in Chicago, IL and is specialized in Dental. Humboldt Community Dental Pc practices in Chicago, IL. The NPI Number for Humboldt Community Dental Pc is 1942490149 and holds a License No. (Illinois).

The current practice location address for Humboldt Community Dental Pc is 1044 N Mozart St, Chicago, IL and can be reached out via phone at 773-772-9200 and via fax at 773-772-9203.

Location: 1044 N Mozart St, Chicago, IL, 60622-2789
institution
Provider Profile Details
NPI Number
1942490149
Provider Name
Humboldt Community Dental Pc
Credential
Provider Entity Type
Organization
Address
1044 N Mozart St, Chicago, IL, 60622-2789
Phone Number
773-772-9200
Fax Number
773-772-9203
Provider Enumeration Date
07/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
163914 05 IL
institution
Provider Business Practice Location Address Details
Address
1044 N Mozart St
City
State
Zip
60622-2789
Phone Number
773-772-9200
Fax Number
773-772-9203
person
Provider Business Mailing Address Details
Address
1044 N Mozart St
City
State
Zip
60622-2789
Phone Number
773-772-9200
Fax Number
773-772-9203
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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