Organization
ATHENA DENTAL INSTITUTE, P.C.
Active
Other names
ATHENA DENTAL GROUP OF CHICAGO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA M MILLER FINCH D.D.S. (DENTIST)
(312) 527-1500
Entity
Organization
Contact information
Practice address
116 W HUBBARD ST, 6TH FLOOR, CHICAGO, IL 60654-8542
(312) 527-1500
Mailing address
PO BOX 1145, P.O. BOX 1145, FRANKFORT, IL 60423-7145
(312) 527-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022059
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002966
—
IL
01
—
1124028113
NPI
IL
Enumeration date
03/18/2008
Last updated
01/01/2010
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