Organization
MG DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA L GRACIAS DDS (OWNER)
(312) 236-3633
Entity
Organization
Contact information
Practice address
111 N WABASH AVE, 1820, CHICAGO, IL 60602-1903
(312) 236-3633
(312) 236-7770
Mailing address
111 N WABASH AVE, 1820, CHICAGO, IL 60602-1903
(312) 236-3633
(312) 236-7770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022121
IL
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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