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Organization
THE DENTAL MASTERS OF BELMONT, LLC
Active
Organization
THE DENTAL MASTERS OF BELMONT, LLC
Active
Parent organization
THE DENTAL MASTERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE DENTAL MASTERS, LLC
Authorized official
DR. ERIC NICS BLOOM DDS (MANAGER)
(847) 791-3850
Entity
Organization
Contact information
Practice address
5236 W. BELMONT AVE., CHICAGO, IL 60641
(773) 725-7222
(773) 725-2245
Mailing address
5236 W. BELMONT AVE., CHICAGO, IL 60641
(773) 725-7222
(773) 725-2245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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