| Kjeld Aamodt Dds Ms Il Pc | |
|
11 E Cedar St Chicago IL 60611 | |
| (415) 653-3087 | |
| Not Available |
| Full Name | Kjeld Aamodt Dds Ms Il Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11 E Cedar St, Chicago, Illinois |
| Authorized Official Name and Position | Kjeld Aamodt (OWNER) |
| Authorized Official Contact | 8312387285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kjeld Aamodt Dds Ms Il Pc 999 Sutter St San Francisco CA 94109-6023 Ph: (831) 238-7285 | Kjeld Aamodt Dds Ms Il Pc 11 E Cedar St Chicago IL 60611 Ph: (415) 653-3087 |
| NPI Number | 1669012860 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669012860 | NPI | - | NPPES |
| 1912250176 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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