606 Dental P.C.
Dentist, General Practice in Chicago, IL. Organization (NPI-2).
NPI number1477206373
StatusActive
Last updated in NPPESJan 31, 2022
Details
- NPI
- 1477206373
- Entity type
- Organization (NPI-2)
- Legal business name
- 606 Dental P.C.
- Organization subpart
- No
- Enumeration date
- Jan 31, 2022
- Certification date
- Jan 31, 2022
- Last updated
- Jan 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1047 N California AveChicago, IL 60622-3468
Phone 773-527-2606
Mailing address
1047 N California AveChicago, IL 60622-3468
Phone 773-527-2606
Authorized official
Reynaldo Perez
Owner
7734470065
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