Gsdc Inc

NPI 1447265970 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1447265970
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARISMA CHARISMA
Position DENTIST
Phone (773) 588-4650
Fax (773) 588-4631
Practice Location
3524 W IRVING PARK RD
CHICAGO IL, 60618-3210, US
Phone (773) 588-4650
Fax (773) 588-4631
Business Location
3524 W IRVING PARK RD
CHICAGO IL, 60618-3210, US
Phone (773) 588-4650
Fax (773) 588-4631
Toxanomy
Taxonomy Code 302R00000X
License State
License Number
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According to our database, Gsdc Inc NPI is 1447265970, taxonomy code is 302R00000X Gsdc Inc physically located at 3524 W Irving Park Rd, Chicago IL, 60618-3210. NPI Number 1033115704 has the healthcare provider type.

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1447265970 NPI number is provided on an as is basis without warranty of any kind. 1447265970 is maintained by the National Plan & Provider Enumeration System. The contents of Gsdc Inc are for informational purposes only.