| Premier Dentistry At Millennium Park Llc | |
|
30 N Michigan Ave Suite 1503 Chicago IL 60602 | |
| (312) 726-1901 | |
| (312) 377-5053 |
| Full Name | Premier Dentistry At Millennium Park Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 30 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Nechama Brand (PARTNER) |
| Authorized Official Contact | 3127261901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dentistry At Millennium Park Llc 30 N Michigan Ave Suite 1503 Chicago IL 60602 Ph: (312) 726-1901 | Premier Dentistry At Millennium Park Llc 30 N Michigan Ave Suite 1503 Chicago IL 60602 Ph: (312) 726-1901 |
| NPI Number | 1104541622 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104541622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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