| Wentworth Dental Clinic Pc | |
|
2323 S Wentworth Ave Suite 202 Chicago IL 60616-4615 | |
| (312) 225-5500 | |
| Not Available |
| Full Name | Wentworth Dental Clinic Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2323 S Wentworth Ave, Chicago, Illinois |
| Authorized Official Name and Position | Helen Chan (DMD) |
| Authorized Official Contact | 8477081313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wentworth Dental Clinic Pc 2323 S Wentworth Ave Suite 202 Chicago IL 60616-4615 Ph: (312) 225-5500 | Wentworth Dental Clinic Pc 2323 S Wentworth Ave Suite 202 Chicago IL 60616-4615 Ph: (312) 225-5500 |
| NPI Number | 1467787275 |
|---|---|
| Provider Enumeration Date | 10/13/2009 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467787275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025756 (Illinois) | Primary |
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