Just Kids Dental
Dentist, Pediatric Dentistry in Chicago, IL. Organization (NPI-2).
NPI number1316110596
StatusActive
Last updated in NPPESNov 6, 2013
Details
- NPI
- 1316110596
- Entity type
- Organization (NPI-2)
- Legal business name
- Just Kids Dental
- Organization subpart
- No
- Enumeration date
- Apr 8, 2008
- Last updated
- Nov 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 019-025566 | IL | Yes |
Other names
- Chicago Smile Specialists (Doing Business As)
Practice location
3021 W Armitage AveChicago, IL 60647-6569
Phone 773-772-2545 · Fax 773-772-2555
Mailing address
3021 W Armitage AveChicago, IL 60647-6569
Phone 773-772-2545 · Fax 773-772-2555
Authorized official
Maggie Pensado
Office Manger
7737722545
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