Ash Dental Pc

NPI 1053584599 - Dentist - 122300000X

NPI Details
NPI 1053584599
Enumeration Date 04/04/2008
Last Updated 09/06/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name DIMITRI DIMITRI
Position OWNER
Phone (312) 491-0601
Fax (312) 491-0602
Practice Location
2316 W MADISON ST
CHICAGO IL, 60612-2228, US
Phone (312) 491-0601
Fax (312) 491-0602
Business Location
2316 W MADISON ST
CHICAGO IL, 60612-2228, US
Phone (312) 491-0601
Fax (312) 491-0602
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1053584599 NPI Number
 

According to our database, Ash Dental Pc NPI is 1053584599, taxonomy code is 122300000X Ash Dental Pc physically located at 2316 W Madison St, Chicago IL, 60612-2228. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053584599 NPI number is provided on an as is basis without warranty of any kind. 1053584599 is maintained by the National Plan & Provider Enumeration System. The contents of Ash Dental Pc are for informational purposes only.