Organization
ADVANCED ENDODONTICS OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON L DAVENPORT III DMD,PC (PRESIDENT)
(312) 291-9571
Entity
Organization
Contact information
Practice address
111 N WABASH AVE STE 812, CHICAGO, IL 60602-1912
(312) 291-9571
(312) 291-9573
Mailing address
111 N WABASH AVE STE 812, CHICAGO, IL 60602-1912
(312) 291-9571
(312) 291-9573
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021002223
IL
Other
Enumeration date
06/10/2013
Last updated
07/10/2013
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