Organization
RUTTENCUTTER CHANG, PC
Active
Other names
Uptown Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RUTTENCUTTER DDS, PHD (OWNER)
(847) 292-0600
Entity
Organization
Contact information
Practice address
80 N NORTHWEST HWY, PARK RIDGE, IL 60068
(847) 292-0600
Mailing address
80 N NORTHWEST HWY, PARK RIDGE, IL 60068
(847) 292-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.027336
IL
122300000X
Dentist
Primary
019.028273
IL
Other
Enumeration date
06/16/2011
Last updated
10/20/2011
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