| A-denta Care Specialist Pc | |
|
5780 N Lincoln Ave Chicago IL 60659-4721 | |
| (773) 769-1754 | |
| (773) 769-1370 |
| Full Name | A-denta Care Specialist Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5780 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | John Dimoulis (OWNER) |
| Authorized Official Contact | 7737691754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A-denta Care Specialist Pc 5780 N Lincoln Ave Chicago IL 60659-4721 Ph: (773) 769-1754 | A-denta Care Specialist Pc 5780 N Lincoln Ave Chicago IL 60659-4721 Ph: (773) 769-1754 |
| NPI Number | 1417223470 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417223470 | NPI | - | NPPES |
| 1619133345 | Other | IL | NPI DENTAL PROVIDER |
| 136645657 | Other | IL | NPI DENTAL PROVIDER |
| 1962592865 | Other | IL | DENTAL PROVIDER |
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