Organization · Type 2 NPI
Old Town Dental Center
Dental Clinic/Center · Chicago, IL
NPI number
1659696995
Active
Practice location
333 W North Ave
Chicago, IL 60610-1293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019024754 (IL) |
Dental Clinic/Center: Definition to come...
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About NPI 1659696995
Old Town Dental Center's National Provider Identifier is 1659696995, issued on Mar 30, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Mar 30, 2010.