| Avenue Dental Clinic & Lab | |
|
3518 W Fullerton Ave Chicago IL 60647 | |
| (773) 278-0334 | |
| (773) 365-0314 |
| Full Name | Avenue Dental Clinic & Lab |
|---|---|
| Speciality | Dentist |
| Location | 3518 W Fullerton Ave, Chicago, Illinois |
| Authorized Official Name and Position | Silvio J Camodeca (OWNER) |
| Authorized Official Contact | 7732780334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avenue Dental Clinic & Lab 3518 W Fullerton Ave Chicago IL 60647 Ph: (773) 278-0334 | Avenue Dental Clinic & Lab 3518 W Fullerton Ave Chicago IL 60647 Ph: (773) 278-0334 |
| NPI Number | 1740268416 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 08/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740268416 | NPI | - | NPPES |
| NAT1000255 | Other | DC | NATUROPATHY |
| 12010612A | Other | IN | DENTISTRY |
| 019015351 | Other | IL | DENTISTRY |
| 181000299 | Other | IL | NAPRAPATH |
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