Organization
DIPILLA DENTISTRY OF LINCOLN PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIER AUSILIO (CONTRACTING MANAGER)
(586) 615-6865
Entity
Organization
Contact information
Practice address
1009 WEST WEBSTER AVE, CHICAGO, IL 60614-3502
(313) 246-8288
Mailing address
1009 WEST WEBSTER AVE, CHICAGO, IL 60614-3502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/10/2022
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