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Organization

LINCOLN PARK ORAL & COSMETIC SURGERY

Active
Other names
Lincoln Park Institute
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARVIN GREENE D.D.S. (PRESIDENT)
(773) 327-2400
Entity
Organization

Contact information

Practice address
2449 N LINCOLN AVE, CHICAGO, IL 60614-2414
(773) 327-2400
(773) 327-4759
Mailing address
2449 N LINCOLN AVE, CHICAGO, IL 60614-2414
(773) 327-2400
(773) 327-4759

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
IL

Other

Enumeration date
04/26/2007
Last updated
07/21/2022
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