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Dental Associates Of Alsip, LLC

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

NPI number1669909370
StatusActive
Last updated in NPPESMay 12, 2017

Details

NPI
1669909370
Entity type
Organization (NPI-2)
Legal business name
Dental Associates Of Alsip, LLC
Organization subpart
No
Enumeration date
May 12, 2017
Last updated
May 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice–ILYes

Practice location

5061 West 111th St.
Alsip, IL 60803-6074

Phone 708-422-6655 · Fax 708-422-0628

Mailing address

3333 N Mayfair Rd
Suite 311
Wauwatosa, WI 53222-3219

Phone 414-808-3031 · Fax 414-808-3098

Authorized official

Katherine Grueneberg
Chief Administrative Officer
4147785274

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Other General Practice Dentistry providers in Alsip, IL

All 8 General Practice Dentistry providers in Alsip · All 171 providers in Alsip

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