Individual
DR. MITAL SPATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2929 N SOUTHPORT AVE, CHICAGO, IL 60657-6945
(773) 328-8282
(773) 328-8204
Mailing address
2929 N. SOUTHPORT AVE, TOOTH BUDS PEDIATRIC DENTISTRY, CHICAGO, IL 60657
(773) 328-8282
(773) 328-8402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028295
IL
1223P0221X
Pediatric Dentistry
Primary
021002694
IL
Other
Enumeration date
06/04/2010
Last updated
05/03/2018
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