Organization
VLADIK CRUTCHER DMD LLC
Active
Other names
The Dental Standard
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIK CRUTCHER DMD (PRESIDENT)
(312) 584-0355
Entity
Organization
Contact information
Practice address
1545 W NORTH AVE, CHICAGO, IL 60642-2530
(312) 584-0355
Mailing address
1545 W NORTH AVE, CHICAGO, IL 60642-2530
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
03/06/2020
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