| Brushin' On Belmont | |
|
2007 W Belmont Ave Chicago IL 60618-6792 | |
| (773) 281-9800 | |
| Not Available |
| Full Name | Brushin' On Belmont |
|---|---|
| Speciality | Dentist |
| Location | 2007 W Belmont Ave, Chicago, Illinois |
| Authorized Official Name and Position | Robert Govoni (OWNER) |
| Authorized Official Contact | 7732819800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brushin' On Belmont 2007 W Belmont Ave Chicago IL 60618-6792 Ph: () - | Brushin' On Belmont 2007 W Belmont Ave Chicago IL 60618-6792 Ph: (773) 281-9800 |
| NPI Number | 1952619355 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 09/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952619355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026662 (Illinois) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 021002151 (Illinois) | Secondary |
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