Organization
RIDGE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY W CHIPP D.D.S. (DENTIST)
(773) 764-7575
Entity
Organization
Contact information
Practice address
7131 N. RIDGE BLVD., RIDGE DENTAL CENTER, STOREFRONT, CHICAGO, IL 60076
(773) 764-7575
(773) 764-2951
Mailing address
7131 N. RIDGE BLVD., RIDGE DENTAL CENTER, STOREFRONT, CHICAGO, IL 60076
(773) 764-7575
(773) 764-2951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022787
IL
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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