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Wisconsin Mobile Dental Care LLC

Clinic/Center, Dental in Chicago, IL. Organization (NPI-2).

NPI number1760192736
StatusActive
Last updated in NPPESSep 22, 2026

Details

NPI
1760192736
Entity type
Organization (NPI-2)
Legal business name
Wisconsin Mobile Dental Care LLC
Organization subpart
No
Enumeration date
Dec 1, 2022
Certification date
Sep 22, 2026
Last updated
Sep 22, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes
122300000X Dentist––

Practice location

6428 N California Ave
Chicago, IL 60645-5209

Phone 847-804-9429

Mailing address

833 Chatham Rd
Glenview, IL 60025-4405

Phone 847-804-9429

Authorized official

Peter Contos
Owner
8478049429

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