| Millennium Dental Group | |
|
1342 W Randolph St Chicago IL 60607-1522 | |
| (312) 767-0407 | |
| (312) 988-0292 |
| Full Name | Millennium Dental Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1342 W Randolph St, Chicago, Illinois |
| Authorized Official Name and Position | Lawrence H Zager (DENTIST / OWNER) |
| Authorized Official Contact | 3127670407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Dental Group 1342 W Randolph St Chicago IL 60607-1522 Ph: (312) 767-0407 | Millennium Dental Group 1342 W Randolph St Chicago IL 60607-1522 Ph: (312) 767-0407 |
| NPI Number | 1790146132 |
|---|---|
| Provider Enumeration Date | 03/13/2016 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790146132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021001094 (Illinois) | Primary |
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