| Children's Dental World, Llc | |
|
2959 S Wallace St Chicago IL 60616 | |
| (312) 326-5437 | |
| (312) 842-5338 |
| Full Name | Children's Dental World, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2959 S Wallace St, Chicago, Illinois |
| Authorized Official Name and Position | Sam Park (OWNER) |
| Authorized Official Contact | 3123265437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental World, Llc 2959 S Wallace St Chicago IL 60616 Ph: () - | Children's Dental World, Llc 2959 S Wallace St Chicago IL 60616 Ph: (312) 326-5437 |
| NPI Number | 1477883122 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477883122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019025818 (Illinois) | Primary |
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