Englewood Dental Care | |
7114 S Vincennes Ave Chicago IL 60621-3506 | |
(773) 244-4800 | |
(773) 244-4807 |
Full Name | Englewood Dental Care |
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Speciality | Dentist - General Practice |
Location | 7114 S Vincennes Ave, Chicago, Illinois |
Authorized Official Name and Position | Mirza Baig (ADMINISTRATOR) |
Authorized Official Contact | 7732444800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Englewood Dental Care 4332 N Elston Ave Chicago IL 60641-2144 Ph: (773) 754-3500 | Englewood Dental Care 7114 S Vincennes Ave Chicago IL 60621-3506 Ph: (773) 244-4800 |
NPI Number | 1497066856 |
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Provider Enumeration Date | 06/30/2010 |
Last Update Date | 06/30/2010 |
Identifier | Type | State | Issuer |
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1497066856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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