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Organization
THE DENTAL MASTERS OF LINCOLN PARK LLC
Active
Organization
THE DENTAL MASTERS OF LINCOLN PARK LLC
Active
Other names
Chicago Smile Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP M COOK (OWNER)
(773) 348-2704
Entity
Organization
Contact information
Practice address
2704 N HALSTED ST, CHICAGO, IL 60614-1414
(773) 348-2704
Mailing address
2704 N HALSTED ST, CHICAGO, IL 60614-1414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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