Organization
JOHN CHAKLOS JR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C CHAKLOS JR. DMD (SOLE MEMBER)
(412) 682-4747
Entity
Organization
Contact information
Practice address
229 ATWOOD ST, PITTSBURGH, PA 15213-4052
(412) 682-4747
(412) 682-4747
Mailing address
1004 COUNTRY CLUB RD, JEANNETTE, PA 15644-4761
(412) 682-4747
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS-019209-L
PA
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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