Organization
DEVON DENTAL CLINIC,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HALINA TERESA LECH DDS (PRESIDENT)
(773) 631-6607
Entity
Organization
Contact information
Practice address
6259 N MILWAUKEE AVE, CHICAGO, IL 60646-3735
(773) 631-6607
(773) 631-9745
Mailing address
6259 N MILWAUKEE AVE, CHICAGO, IL 60646-3735
(773) 631-6607
(773) 631-9745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-023650
IL
Other
Enumeration date
09/08/2011
Last updated
10/06/2011
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