West Loop Dental Associates, Ltd.

NPI 1538203989 - Dentist - 1223G0001X

NPI Details
NPI 1538203989
Enumeration Date 02/19/2007
Last Updated 09/07/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD J RICHARD
Position OWNER
Phone (312) 666-5166
Fax
Practice Location
1111 W MADISON ST
SUITE 1
CHICAGO IL, 60607-2092, US
Phone (312) 666-5166
Fax
Business Location
1111 W MADISON ST
SUITE 1
CHICAGO IL, 60607-2092, US
Phone (312) 666-5166
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, West Loop Dental Associates, Ltd. NPI is 1538203989, taxonomy code is 1223G0001X West Loop Dental Associates, Ltd. physically located at 1111 W Madison St, Chicago IL, 60607-2092. NPI Number 1033115704 has the healthcare provider type.

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1538203989 NPI number is provided on an as is basis without warranty of any kind. 1538203989 is maintained by the National Plan & Provider Enumeration System. The contents of West Loop Dental Associates, Ltd. are for informational purposes only.