Robert J. Wolin, Dds

NPI 1174876502 - Dentist - 122300000X

NPI Details
NPI 1174876502
Enumeration Date 10/23/2012
Last Updated 10/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROBERT J ROBERT
Position OWNER
Phone (773) 278-6655
Fax
Practice Location
2746 W FULLERTON AVE
CHICAGO IL, 60647-3059, US
Phone (773) 278-6655
Fax
Business Location
2746 W FULLERTON AVE
CHICAGO IL, 60647-3059, US
Phone (773) 278-6655
Fax
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 019015570
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According to our database, Robert J. Wolin, Dds NPI is 1174876502, taxonomy code is 122300000X and license number is 019015570, license state is located at Illinois. Robert J. Wolin, Dds physically located at 2746 W Fullerton Ave, Chicago IL, 60647-3059. NPI Number 1033115704 has the healthcare provider type.

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1174876502 NPI number is provided on an as is basis without warranty of any kind. 1174876502 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J. Wolin, Dds are for informational purposes only.