DIVERSEY FAMILY DENTAL, P.C.

CHICAGO, IL
NPI1952594020
Entity TypeOrganization
Authorized ContactANKIT A SHAH
President
773-725-7900
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019026112)
Enumeration Date2007-08-22
Last Update Date2007-08-22
Business Address
DIVERSEY FAMILY DENTAL, P.C.
4446 W. DIVERSEY
CHICAGO, IL 60639
Phone number: 773-725-7900
Mailing Address
DIVERSEY FAMILY DENTAL, P.C.
4446 W. DIVERSEY
CHICAGO, IL 60639
Phone number: 773-725-7900
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