ABC DENTAL PC

CHICAGO, IL
NPI1982081055
Entity TypeOrganization
Authorized ContactNADA ZAYZAFOON
Owner
312-919-6266
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: IL  19026509)
Enumeration Date2015-04-28
Last Update Date2015-04-28
Business Address
ABC DENTAL PC
4608 W DIVERSEY AVE
CHICAGO, IL 60639-1801
Phone number: 312-919-6266
Mailing Address
ABC DENTAL PC
4608 W DIVERSEY AVE
CHICAGO, IL 60639-1801
Phone number: 312-919-6266