Old Town Dental Center
Old Town Dental Center is a Dental Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
333 W North AveChicago, IL 60610-1293
Phone: (312) 751-1113
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 019024754 (IL) |
|---|
Record details
| NPI number | 1659696995 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vlad Ferdkoff — President · (312) 751-1113 |
| NPI enumerated | March 30, 2010 |
| Last updated in NPPES | March 30, 2010 |
| Mailing address | 333 W North Ave, Chicago, IL 60610-1293 |
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