WICKER PARK DENTAL LLC

CHICAGO, IL
NPI1326349770
Entity TypeOrganization
Authorized ContactSUSAN STUART BROWN
Office Manager
773-276-5566
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IL  019016946)
Enumeration Date2010-11-16
Last Update Date2010-11-16
Business Address
WICKER PARK DENTAL LLC
1738 W NORTH AVE
CHICAGO, IL 60622-2147
Phone number: 773-276-5566
Mailing Address
WICKER PARK DENTAL LLC
1738 W NORTH AVE
CHICAGO, IL 60622-2147
Phone number: 773-276-5566