MADISON PINE DENTAL

CHICAGO, IL
NPI1942322664
Entity TypeOrganization
Authorized ContactJAMES POULOS
Dentist
773-287-3939
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2007-04-04
Last Update Date2020-08-22
Business Address
MADISON PINE DENTAL
5470 W MADISON ST
CHICAGO, IL 60644-4031
Phone number: 773-287-3939
Mailing Address
MADISON PINE DENTAL
5470 W MADISON ST
CHICAGO, IL 60644-4031
Phone number: 773-287-3939
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