| John Chaklos Jr Llc | |
|
229 Atwood St Pittsburgh PA 15213-4052 | |
| (412) 682-4747 | |
| (412) 682-4747 |
| Full Name | John Chaklos Jr Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 229 Atwood St, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | John C Chaklos (SOLE MEMBER) |
| Authorized Official Contact | 4126824747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Chaklos Jr Llc 1004 Country Club Rd Jeannette PA 15644-4761 Ph: (412) 682-4747 | John Chaklos Jr Llc 229 Atwood St Pittsburgh PA 15213-4052 Ph: (412) 682-4747 |
| NPI Number | 1144747601 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 08/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144747601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS-019209-L (Pennsylvania) | Primary |
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