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A K A Dental

Dentist, General Practice in Chicago, IL. Organization (NPI-2).

NPI number1598937377
StatusActive
Last updated in NPPESApr 1, 2008

Details

NPI
1598937377
Entity type
Organization (NPI-2)
Legal business name
A K A Dental
Organization subpart
No
Enumeration date
Apr 1, 2008
Last updated
Apr 1, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Dental Profile (Doing Business As)

Practice location

4445 N Pulaski Rd Ste R
Chicago, IL 60630-4444

Phone 773-279-9977 · Fax 773-279-8402

Mailing address

4445 N Pulaski Rd Ste R
Chicago, IL 60630-4444

Phone 773-279-9977 · Fax 773-279-8402

Authorized official

Milan Roncevic
General Manager
6305160000

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