Organization · Type 2 NPI

Alta Dental LLC

Dental Clinic/Center · Chicago, IL

NPI number 1235787730 Active

Practice location

5892 S Archer Ave
Chicago, IL 60638-1658

Call (218) 329-2753 Map

Mailing address

565 W Quincy St Unit 1506
Chicago, IL 60661-2911

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1235787730

Alta Dental LLC's National Provider Identifier is 1235787730, issued on Aug 28, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Aug 28, 2019.