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Organization
ZIEBA DENTISTRY LINCOLN SQUARE LTD.
Active
Organization
ZIEBA DENTISTRY LINCOLN SQUARE LTD.
Active
Other names
Cornerstone Dental of Lincoln Square
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN GREGOIRE (MANAGER)
(847) 727-4077
Entity
Organization
Contact information
Practice address
2328 W FOSTER AVE, CHICAGO, IL 60625-1826
(773) 654-3575
Mailing address
2328 W FOSTER AVE, CHICAGO, IL 60625-1826
(737) 654-3575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/25/2019
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