Organization · Type 2 NPI
Implant Endo Inc
Dental Clinic/Center · Chicago, IL
NPI number
1215485677
Active
Practice location
505 N Lake Shore Dr Ste 215
Chicago, IL 60611-3678
Fax (312) 467-4684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019024334 (IL) |
Dental Clinic/Center: Definition to come...
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About NPI 1215485677
Implant Endo Inc's National Provider Identifier is 1215485677, issued on Sep 14, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Sep 14, 2016.