Madison Pine Dental
Madison Pine Dental is a General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
5470 W Madison StChicago, IL 60644-4031
Phone: (773) 287-3939
Fax: (773) 287-2573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1942322664 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Poulos — Dentist · (773) 287-3939 |
| NPI enumerated | April 4, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5470 W Madison St, Chicago, IL 60644-4031 |
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