Compass Dental, P.c.

NPI 1104174374 - Dentist - 1223G0001X

NPI Details
NPI 1104174374
Enumeration Date 08/20/2012
Last Updated 08/20/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRANDON BRANDON
Position PRESIDENT
Phone (785) 979-5147
Fax
Practice Location
4413 N CLARK ST
CHICAGO IL, 60640-5403, US
Phone (785) 979-5147
Fax
Business Location
2348 N LISTER AVE
#407
CHICAGO IL, 60614-2994, US
Phone (785) 979-5147
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Compass Dental, P.c. NPI is 1104174374, taxonomy code is 1223G0001X Compass Dental, P.c. physically located at 4413 N Clark St, Chicago IL, 60640-5403. NPI Number 1033115704 has the healthcare provider type.

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1104174374 NPI number is provided on an as is basis without warranty of any kind. 1104174374 is maintained by the National Plan & Provider Enumeration System. The contents of Compass Dental, P.c. are for informational purposes only.