Ac Dentistry, LLC
Clinic/Center, Dental in Chicago, IL. Organization (NPI-2).
NPI number1700051141
StatusActive
Last updated in NPPESApr 27, 2008
Details
- NPI
- 1700051141
- Entity type
- Organization (NPI-2)
- Legal business name
- Ac Dentistry, LLC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2008
- Last updated
- Apr 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 019025709 | IL | Yes |
Practice location
1209 W Diversey PkwyChicago, IL 60614-1201
Phone 773-327-8550 · Fax 773-327-8565
Mailing address
1209 W Diversey PkwyChicago, IL 60614-1201
Phone 773-327-8550 · Fax 773-327-8565
Authorized official
Adrian Codel
Dentist
7733278550
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