ALTA DENTAL LLC

CHICAGO, IL
NPI1235787730
Entity TypeOrganization
Authorized ContactCHRIS WORTH
Owner
218-329-2753
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
ALTA DENTAL LLC
5892 S ARCHER AVE
CHICAGO, IL 60638-1658
Phone number: 218-329-2753
Mailing Address
ALTA DENTAL LLC
565 W QUINCY ST UNIT 1506
CHICAGO, IL 60661-2911
Phone number: 218-329-2753