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Organization
NORTH BROADWAY DENTAL LTD
Active
Organization
NORTH BROADWAY DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA TRAN (OFFICE MANAGER)
(773) 878-2970
Entity
Organization
Contact information
Practice address
5852 N BROADWAY ST., STE. 1, CHICAGO, IL 60660
(773) 878-2970
(773) 878-8597
Mailing address
5852 N BROADWAY ST., STE. 1, CHICAGO, IL 60660
(773) 878-2970
(773) 878-8597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
09/08/2022
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