Organization
BRUNO KNOPP DDS,LTD
Active
Other names
City Style Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUNO A KNOPP DDS (OWNER/PRESIDENT)
(773) 481-1900
Entity
Organization
Contact information
Practice address
3256 N PULASKI RD, CHICAGO, IL 60641-4730
(773) 481-1900
(773) 481-7003
Mailing address
3256 N PULASKI RD, CHICAGO, IL 60641-4730
(773) 481-1900
(773) 481-7003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9177320
—
IL
Enumeration date
04/15/2008
Last updated
04/15/2008
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