Organization
BOCA DENTAL CLINIC CHICAGO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY M RODRIGUEZ DMD (OWNER)
(847) 451-7777
Entity
Organization
Contact information
Practice address
2208 N MANNHEIM RD, MELROSE PARK, IL 60164-1837
(847) 451-7777
Mailing address
2208 N MANNHEIM RD, MELROSE PARK, IL 60164-1837
(847) 451-7777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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