| Lincoln Cosmetic Dentistry Llc | |
|
5962 N Lincoln Ave Ste 10 Chicago IL 60659-3762 | |
| (773) 878-3168 | |
| (773) 878-3317 |
| Full Name | Lincoln Cosmetic Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5962 N Lincoln Ave Ste 10, Chicago, Illinois |
| Authorized Official Name and Position | Katherine Gerginis (OWNER) |
| Authorized Official Contact | 7738783168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Cosmetic Dentistry Llc 5962 N Lincoln Ave Ste 10 Chicago IL 60659-3762 Ph: (773) 878-3168 | Lincoln Cosmetic Dentistry Llc 5962 N Lincoln Ave Ste 10 Chicago IL 60659-3762 Ph: (773) 878-3168 |
| NPI Number | 1710226386 |
|---|---|
| Provider Enumeration Date | 02/02/2013 |
| Last Update Date | 02/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710226386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019016806 (Illinois) | Primary |
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