Organization
GARY L. MONSON, D.D.S., P.C.
Active
Other names
Complete Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L MONSON D.D.S. (PRESIDENT/OWNER)
(312) 263-2483
Entity
Organization
Contact information
Practice address
5358 N BROADWAY ST, CHICAGO, IL 60640-2312
(312) 263-2483
Mailing address
5358 N BROADWAY ST, CHICAGO, IL 60640-2312
(312) 263-2483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019236
IL
Other
Enumeration date
05/04/2016
Last updated
04/12/2017
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