Organization
PREFERRED DENTAL PARTNERS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GEORGE WEGMANN DDS (PRESIDENT)
(312) 551-0500
Entity
Organization
Contact information
Practice address
55 E WASHINGTON ST, 2141, CHICAGO, IL 60602-2103
(312) 551-0500
Mailing address
55 E WASHINGTON ST, 2141, CHICAGO, IL 60602-2103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19-020724
IL
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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