| Pulp&dentin | |
|
1945 W. Wilson Ave. Ste 5117 Chicago IL 60640 | |
| (773) 588-7840 | |
| Not Available |
| Full Name | Pulp&dentin |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1945 W. Wilson Ave., Chicago, Illinois |
| Authorized Official Name and Position | Irene Renieris (OWNER) |
| Authorized Official Contact | 7735887840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulp&dentin 1945 W. Wilson Ave. Ste 5117 Chicago IL 60640 Ph: (773) 588-7840 | Pulp&dentin 1945 W. Wilson Ave. Ste 5117 Chicago IL 60640 Ph: (773) 588-7840 |
| NPI Number | 1144099441 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144099441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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