Modern Dental on Division
Modern Dental on Division is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
Practice location Address checks out
2033 W DivisionChicago, IL 60622
Phone: (773) 489-5700
Show map & directions
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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 · Licence 019.026403 (IL) |
|---|
Record details
| NPI number | 1225459340 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phillip Palella — Owner · (773) 489-5700 |
| NPI enumerated | December 16, 2013 |
| Last updated in NPPES | December 16, 2013 |
| Mailing address | 2033 W. Division, Chicago, IL 60622 |
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