Organization · Type 2 NPI

Western Dental Group PC

Periodontics · Chicago, IL

NPI number 1669899613 Active

Practice location

3935 N Western Ave, Suite 1S
Chicago, IL 60618-3761

Fax (773) 588-1143

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X021002372 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1669899613

Western Dental Group PC's National Provider Identifier is 1669899613, issued on Mar 26, 2014. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Mar 26, 2014.