Organization
PREMIER DENTISTRY AT MILLENNIUM PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NECHAMA BRAND (PARTNER)
(312) 726-1901
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 1503, CHICAGO, IL 60602
(312) 726-1901
(312) 377-5053
Mailing address
30 N MICHIGAN AVE, SUITE 1503, CHICAGO, IL 60602
(312) 726-1901
(312) 377-5053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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