Organization
ERIE DENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE FRANCIS MD (MEDICAL DIRECTOR INTERIM CEO)
(312) 432-7394
Entity
Organization
Contact information
Practice address
4751 N KEDZIE AVE, CHICAGO, IL 60625
(773) 279-2947
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-0610
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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