Halo Dental

NPI 1447663232 - Dentist - 122300000X

NPI Details
NPI 1447663232
Enumeration Date 06/09/2014
Last Updated 06/09/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PHILLIP PHILLIP
Position OWNER
Phone (773) 489-5700
Fax (773) 340-4213
Practice Location
2033 W DIVISION ST
CHICAGO IL, 60622-8108, US
Phone (773) 489-5700
Fax (773) 340-4213
Business Location
2033 W DIVISION ST
CHICAGO IL, 60622-8108, US
Phone (773) 489-5700
Fax (773) 340-4213
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019026403
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According to our database, Halo Dental NPI is 1447663232, taxonomy code is 122300000X and license number is 019026403, license state is located at Illinois. Halo Dental physically located at 2033 W Division St, Chicago IL, 60622-8108. NPI Number 1033115704 has the healthcare provider type.

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1447663232 NPI number is provided on an as is basis without warranty of any kind. 1447663232 is maintained by the National Plan & Provider Enumeration System. The contents of Halo Dental are for informational purposes only.