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Organization
PROVERBS 3 PC
Active
Organization
PROVERBS 3 PC
Active
Other names
That's The Tooth
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA JAMES (PRESIDENT)
(773) 776-1285
Entity
Organization
Contact information
Practice address
2447 W 79TH ST, CHICAGO, IL 60652-1734
(773) 776-1285
(773) 776-3171
Mailing address
PO BOX 20568, CHICAGO, IL 60620-0568
(773) 776-1285
(773) 776-3171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022143
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002342
—
IL
Enumeration date
10/15/2005
Last updated
09/06/2013
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