Organization
DAVID K MAYES D.D.S L.T.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KEVIN MAYES DDS (PRESIDENT)
(773) 779-0300
Entity
Organization
Contact information
Practice address
9101 S WESTERN AVE # 2NDFL, CHICAGO, IL 60643-6751
(773) 779-0300
Mailing address
9101 S WESTERN AVE STE 12, CHICAGO, IL 60643-6751
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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