Organization
COMPASS DENTAL OF ROGERS PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON R PRUSA (OWNER)
(773) 525-2011
Entity
Organization
Contact information
Practice address
2727 W TOUHY AVE, CHICAGO, IL 60645-3007
(773) 262-4544
Mailing address
2727 W TOUHY AVE, CHICAGO, IL 60645-3007
(773) 262-4544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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