institution
Dental Diagnostic Imaging
Oral and Maxillofacial Radiology Dentist in Chicago, Illinois
NPI 1942653738

Dental Diagnostic Imaging is a Oral and Maxillofacial Radiology Dentist based in Chicago, IL and is specialized in Oral and Maxillofacial Radiology. Dental Diagnostic Imaging practices in Chicago, IL. The NPI Number for Dental Diagnostic Imaging is 1942653738 and holds a License No. 019.030434 (Illinois).

The current practice location address for Dental Diagnostic Imaging is 1201 S Prairie Ave, Chicago, IL and can be reached out via phone at 312-966-6307.

Location: 1201 S Prairie Ave, Chicago, IL, 60605-3325
institution
Provider Profile Details
NPI Number
1942653738
Provider Name
Dental Diagnostic Imaging
Credential
Provider Entity Type
Organization
Address
1201 S Prairie Ave, Chicago, IL, 60605-3325
Phone Number
312-966-6307
Fax Number
Provider Enumeration Date
07/18/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1201 S Prairie Ave
City
State
Zip
60605-3325
Phone Number
312-966-6307
Fax Number
person
Provider Business Mailing Address Details
Address
1201 S Prairie Ave
City
State
Zip
60605-3325
Phone Number
312-966-6307
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Radiology
Taxonomy
License No.
019.030434 (Illinois)
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
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