PRO DENTAL IL - CHAD WISE PC

CHICAGO, IL
NPI1023845302
Doing Business AsDESTINY DENTAL OF CHATHAM
Entity TypeOrganization
Authorized ContactSIMONE WILSON-ADELEKE
Director Of Credentialing
732-731-8398
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2024-09-19
Last Update Date2024-09-19
Business Address
PRO DENTAL IL - CHAD WISE PC
712 E 87TH ST STE D
CHICAGO, IL 60619-6246
Phone number: 773-783-9000
Mailing Address
PRO DENTAL IL - CHAD WISE PC
10 WOODBRIDGE CENTER DR STE 520
WOODBRIDGE, NJ 07095-1152
Phone number: 732-731-8398