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Organization
NORTHWESTERN DENTAL CENTER
Active
Organization
NORTHWESTERN DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER HURST MS, BDS, LDS, FDS, (TREASURER)
(312) 926-3264
Entity
Organization
Contact information
Practice address
201 E HURON ST, GALTER PAVILION, 2-246, CHICAGO, IL 60611-3197
(312) 926-3264
(312) 926-3885
Mailing address
201 E HURON ST, GALTER PAVILION, 2-246, CHICAGO, IL 60611-3197
(312) 926-3264
(312) 926-3885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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