| Universal Dental | |
|
3915 W 26th St Chicago IL 60623 | |
| (773) 522-2929 | |
| (773) 522-2930 |
| Full Name | Universal Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3915 W 26th St, Chicago, Illinois |
| Authorized Official Name and Position | Leticia Martinez (DENTIST) |
| Authorized Official Contact | 7735222929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Dental 3915 W 26th St Chicago IL 60623 Ph: (773) 522-2929 | Universal Dental 3915 W 26th St Chicago IL 60623 Ph: (773) 522-2929 |
| NPI Number | 1003088006 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 07/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003088006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027035 (Illinois) | Primary |
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