Organization
BELMONT DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY TAUGNER DDS (DENTIST)
(773) 685-6177
Entity
Organization
Contact information
Practice address
5227 W. BELMONT AVE, CHICAGO, IL 60641
(773) 685-6177
Mailing address
5227 W. BELMONT AVE., CHICAGO, IL 60641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019019087
IL
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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