Organization
CHICAGO DENTAL SOCIETY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN WEBER (ED)
(312) 836-7301
Entity
Organization
Contact information
Practice address
416 E ROOSEVELT RD STE 102, WHEATON, IL 60187-5589
(630) 260-8530
Mailing address
416 E ROOSEVELT RD STE 102, WHEATON, IL 60187-5589
(630) 260-8530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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