Organization
ELITE DENTAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA ANN FALCON (OFFICE MANAGER)
(773) 348-6600
Entity
Organization
Contact information
Practice address
4142 N SHERIDAN RD, CHICAGO, IL 60613-2007
(773) 348-6600
(773) 975-6245
Mailing address
4142 N SHERIDAN RD, CHICAGO, IL 60613-2007
(773) 348-6600
(773) 975-6245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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