Organization
26TH STREET DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLADIMEJI OGBARA DDS (DENTIST)
(773) 542-1916
Entity
Organization
Contact information
Practice address
3936 W 26TH ST, CHICAGO, IL 60623-3705
(773) 542-1916
Mailing address
3936 W 26TH ST, CHICAGO, IL 60623-3705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027697
IL
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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