Organization
J J MITCHELL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY C, SAFFOLD DDS (DENTIST)
(773) 955-0355
Entity
Organization
Contact information
Practice address
1525 E 53RD ST, SUITE 821, CHICAGO, IL 60615-4557
(773) 955-0355
(773) 955-1175
Mailing address
1525 E 53RD ST, SUITE 821, CHICAGO, IL 60615-4557
(773) 955-0355
(773) 955-1175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-19340
IL
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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