Organization
BELMONT DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ARTHUR SANDUSKY DDS (PRESIDENT)
(847) 470-0240
Entity
Organization
Contact information
Practice address
5611 W. BELMONT AVE., CHICAGO, IL 60634
(773) 887-5432
(773) 417-4684
Mailing address
5611 W. BELMONT AVE., CHICAGO, IL 60634
(773) 887-5432
(773) 417-4684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019017695
IL
Other
Enumeration date
09/14/2009
Last updated
12/05/2016
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