Yummy Dental

NPI 1013147024 - Dentist - 1223P0221X

NPI Details
NPI 1013147024
Enumeration Date 07/24/2009
Last Updated 07/24/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GRACE GRACE
Position DOCTOR OWNER
Phone (312) 773-7994
Fax
Practice Location
3500 N LINCOLN AVE
CHICAGO IL, 60657-1104, US
Phone (312) 773-7994
Fax
Business Location
3500 N LINCOLN AVE
CHICAGO IL, 60657-1104, US
Phone (312) 773-7994
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Illinois
License Number 021002143
Remove 1013147024 NPI Number
 

According to our database, Yummy Dental NPI is 1013147024, taxonomy code is 1223P0221X and license number is 021002143, license state is located at Illinois. Yummy Dental physically located at 3500 N Lincoln Ave, Chicago IL, 60657-1104. NPI Number 1033115704 has the healthcare provider type.

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1013147024 NPI number is provided on an as is basis without warranty of any kind. 1013147024 is maintained by the National Plan & Provider Enumeration System. The contents of Yummy Dental are for informational purposes only.