City Kids Dental, Pc

NPI 1013068972 - Dentist - 1223P0221X

NPI Details
NPI 1013068972
Enumeration Date 01/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY ELIZABETH MARY
Position PRESIDENT
Phone (773) 293-2700
Fax (773) 293-3854
Practice Location
4700 N WESTERN AVE
SUITE 1A
CHICAGO IL, 60625-2081, US
Phone (773) 293-2700
Fax (773) 293-3854
Business Location
4700 N WESTERN AVE
SUITE 1A
CHICAGO IL, 60625-2081, US
Phone (773) 293-2700
Fax (773) 293-3854
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
Remove 1013068972 NPI Number
 

According to our database, City Kids Dental, Pc NPI is 1013068972, taxonomy code is 1223P0221X City Kids Dental, Pc physically located at 4700 N Western Ave, Chicago IL, 60625-2081. NPI Number 1033115704 has the healthcare provider type.

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1013068972 NPI number is provided on an as is basis without warranty of any kind. 1013068972 is maintained by the National Plan & Provider Enumeration System. The contents of City Kids Dental, Pc are for informational purposes only.