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Organization
WENTWORTH DENTAL CLINIC PC
Active
Organization
WENTWORTH DENTAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN CHAN (DMD)
(847) 708-1313
Entity
Organization
Contact information
Practice address
2323 S WENTWORTH AVE, SUITE 202, CHICAGO, IL 60616-4615
(312) 225-5500
Mailing address
2323 S WENTWORTH AVE, SUITE 202, CHICAGO, IL 60616-4615
(312) 225-5500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025756
IL
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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