MT. GREENWOOD DENTAL CLINIC

CHICAGO, IL
NPI1558637926
Entity TypeOrganization
Authorized ContactKENNETH BROCKER
Owner
773-238-4451
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019016104)
Enumeration Date2012-03-29
Last Update Date2012-03-29
Business Address
MT. GREENWOOD DENTAL CLINIC
3135 W 111TH ST
CHICAGO, IL 60655-2223
Phone number: 773-238-4451
Mailing Address
MT. GREENWOOD DENTAL CLINIC
3135 W 111TH ST
CHICAGO, IL 60655-2223
Phone number: