Oral Kare Network Lll
Clinic/Center, Dental in Chicago, IL. Organization (NPI-2).
NPI number1679775407
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1679775407
- Entity type
- Organization (NPI-2)
- Legal business name
- Oral Kare Network Lll
- Organization subpart
- No
- Enumeration date
- Jun 4, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
4020 W 59th StChicago, IL 60629-4512
Phone 773-585-5176 · Fax 773-585-5188
Mailing address
4020 W 59th StChicago, IL 60629-4512
Phone 773-585-5176 · Fax 773-585-5188
Authorized official
Guadalupe Gonzalez-Holderbaum
Office Cooridnator
7735855176
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