Organization · Type 2 NPI

Humboldt Community Dental PC

Dental Clinic/Center · Chicago, IL

NPI number 1942490149 Active

Practice location

1044 N Mozart St, Suite 401
Chicago, IL 60622-2789

Call (773) 772-9200 Map

Fax (773) 772-9203

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1942490149

Humboldt Community Dental PC's National Provider Identifier is 1942490149, issued on Jul 25, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Jul 25, 2007.