Allure Dental Lincoln Park
Clinic/Center, Dental in Chicago, IL. Organization (NPI-2).
NPI number1982257218
StatusActive
Last updated in NPPESJul 16, 2019
Details
- NPI
- 1982257218
- Entity type
- Organization (NPI-2)
- Legal business name
- Allure Dental Lincoln Park
- Organization subpart
- No
- Enumeration date
- Jul 16, 2019
- Last updated
- Jul 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
558 W Diversey PkwyChicago, IL 60614-1678
Phone 312-565-0014
Mailing address
558 W Diversey PkwyChicago, IL 60614-1678
Phone 312-565-0014
Authorized official
Atta Baber
DDS/ Owner
3125650014
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