Organization · NPI-2

Ez Dental

Dental Laboratory · Chicago, IL

NPI number1104284710
StatusActive
Last updated in NPPESFeb 10, 2016

Details

NPI
1104284710
Entity type
Organization (NPI-2)
Legal business name
Ez Dental
Organization subpart
No
Enumeration date
Feb 10, 2016
Last updated
Feb 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
292200000X Dental Laboratory019023027ILYes

Practice location

5621 W.Montrose Avenue
Chicago, IL 60634

Phone 773-427-1000

Mailing address

5621 W.Montrose Ave
Chicago, IL 60634

Phone 773-427-1000

Authorized official

Abdul Majzoub
Boss
7735834455

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dental Laboratory providers in Chicago, IL