| City Style Dental | |
|
3256 N Pulaski Rd Chicago IL 60641-4730 | |
| (773) 481-1900 | |
| (773) 481-7003 |
| Full Name | City Style Dental |
|---|---|
| Speciality | Dentist |
| Location | 3256 N Pulaski Rd, Chicago, Illinois |
| Authorized Official Name and Position | Bruno A Knopp (OWNER/PRESIDENT) |
| Authorized Official Contact | 7734811900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Style Dental 3256 N Pulaski Rd Chicago IL 60641-4730 Ph: (773) 481-1900 | City Style Dental 3256 N Pulaski Rd Chicago IL 60641-4730 Ph: (773) 481-1900 |
| NPI Number | 1205000825 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205000825 | NPI | - | NPPES |
| 9177320 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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