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Organization
CHICAGO GENERAL & DENTAL IMPLANT SPECIALISTS LLC
Active
Organization
CHICAGO GENERAL & DENTAL IMPLANT SPECIALISTS LLC
Active
Other names
Dentpol Dental Specialist, Apex Oral Surgery and Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
GUNJAN JAIN DDS (MANAGER)
(708) 860-1903
Entity
Organization
Contact information
Practice address
7407 W IRVING PARK RD, CHICAGO, IL 60634-2139
(773) 625-2626
(773) 625-4071
Mailing address
7407 W IRVING PARK RD, CHICAGO, IL 60634-2139
(773) 625-2626
(773) 625-4071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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