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Organization
PARKVIEW DENTAL CARE
Active
Organization
PARKVIEW DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E BERTAGNA DDS (DENTIST)
(773) 736-1406
Entity
Organization
Contact information
Practice address
4020 N CENTRAL AVE, CHICAGO, IL 60634-1832
(773) 736-1406
(773) 736-1487
Mailing address
4020 N CENTRAL AVE, CHICAGO, IL 60634-1832
(773) 736-1406
(773) 736-1487
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019020864
IL
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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