Organization
ASSOCIATES FOR GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W. BRANDSTATTER D.D.S. (PRESIDENT)
(773) 283-0321
Entity
Organization
Contact information
Practice address
4958 W IRVING PARK RD, CHICAGO, IL 60641-2640
(773) 283-0321
(773) 283-0824
Mailing address
4958 W IRVING PARK RD, CHICAGO, IL 60641-2640
(773) 283-0321
(773) 283-0824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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