Adrienne C A Barnes DDS, P.C.
Dentist, Pediatric Dentistry in Chicago, IL. Organization (NPI-2).
NPI number1831494053
StatusActive
Last updated in NPPESJan 19, 2011
Details
- NPI
- 1831494053
- Entity type
- Organization (NPI-2)
- Legal business name
- Adrienne C A Barnes DDS, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 19, 2011
- Last updated
- Jan 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 019019516 | IL | Yes |
Practice location
714 W Maxwell StChicago, IL 60607-5017
Phone 312-455-8803
Mailing address
714 W Maxwell StChicago, IL 60607-5017
Phone 312-455-8803
Authorized official
Adrienne Barnes
Pediatric Dentist
3124558803
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