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Organization
STREETERVILLE DENTAL, PC
Active
Organization
STREETERVILLE DENTAL, PC
Active
Other names
Streeterville Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT F. FUTCH D.D.S. (OWNER)
(312) 337-2212
Entity
Organization
Contact information
Practice address
233 E ERIE ST, SUITE 602, CHICAGO, IL 60611-2926
(312) 337-2212
Mailing address
233 E ERIE ST, SUITE 602, CHICAGO, IL 60611-2926
(312) 337-2212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025503
IL
Other
Enumeration date
03/14/2007
Last updated
02/16/2011
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