| Panos Dentistry Center | |
|
4849 N Milwaukee Ave Ste 103 Chicago IL 60630-2171 | |
| (773) 577-2100 | |
| Not Available |
| Full Name | Panos Dentistry Center |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4849 N Milwaukee Ave Ste 103, Chicago, Illinois |
| Authorized Official Name and Position | Ernest Panos (ORTHODONTIST) |
| Authorized Official Contact | 7735772100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panos Dentistry Center 4849 N Milwaukee Ave Ste 103 Chicago IL 60630-2171 Ph: (773) 577-2100 | Panos Dentistry Center 4849 N Milwaukee Ave Ste 103 Chicago IL 60630-2171 Ph: (773) 577-2100 |
| NPI Number | 1316178619 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316178619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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