| Ora Dental Studio Gold Coast Llc | |
|
712 N Dearborn St Chicago IL 60654-3818 | |
| (312) 867-8766 | |
| (312) 876-8755 |
| Full Name | Ora Dental Studio Gold Coast Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 712 N Dearborn St, Chicago, Illinois |
| Authorized Official Name and Position | Mladen Kralj (OWNER) |
| Authorized Official Contact | 3128678766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ora Dental Studio Gold Coast Llc 712 N Dearborn St Chicago IL 60654-3818 Ph: (312) 867-8766 | Ora Dental Studio Gold Coast Llc 712 N Dearborn St Chicago IL 60654-3818 Ph: (312) 867-8766 |
| NPI Number | 1376823658 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 08/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376823658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19022824 (Illinois) | Primary |
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