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Organization
GREATER CHICAGO DENTAL ASSOCIATES, INC.
Active
Organization
GREATER CHICAGO DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON JUAN RODRIGUEZ D.M.D. (PRESIDENT)
(773) 376-1111
Entity
Organization
Contact information
Practice address
4600 S PULASKI RD, CHICAGO, IL 60632-4038
(773) 376-1111
(773) 376-3099
Mailing address
4600 S PULASKI RD, CHICAGO, IL 60632-4038
(773) 376-1111
(773) 376-3099
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.027200
IL
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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