Organization · Type 2 NPI

Dental Dream Team Associates LLC Yetta McCullom Sole MBR

Periodontics · Chicago, IL

NPI number 1972145183 Active

Practice location

820 E 87th St Ste 201
Chicago, IL 60619-6256

Call (773) 488-9072 Map

Fax (888) 506-5697

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

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 1972145183

Dental Dream Team Associates LLC Yetta McCullom Sole MBR's National Provider Identifier is 1972145183, issued on Oct 9, 2019. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Oct 9, 2019.