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Organization
ROSELAND COMMUNITY HOSPITAL ASSOCIATION
Active
Organization
ROSELAND COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
ROSELAND COMMUNITY HOSPITAL DENTAL PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT VAIS (CFO)
(773) 995-3044
Entity
Organization
Contact information
Practice address
45 W 111TH ST, CHICAGO, IL 60628-4200
(773) 995-3000
(773) 995-0664
Mailing address
45 W 111TH ST, CHICAGO, IL 60628-4200
(773) 995-3000
(773) 995-0664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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