Dental Dream Team Associates LLC Yetta McCullom Sole Mbr
Dental Dream Team Associates LLC Yetta McCullom Sole Mbr is a Periodontics in Chicago, Illinois. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
820 E 87th St Ste 201Chicago, IL 60619-6256
Phone: (773) 488-9072
Fax: (888) 506-5697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1972145183 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Yetta McCullom — Manager Sole Member · (773) 488-9072 |
| NPI enumerated | October 9, 2019 |
| Last updated in NPPES | October 9, 2019 |
| Mailing address | 820 E 87th St Ste 201, Chicago, IL 60619-6256 |
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