Organization
IAN W. HOFFMAN, DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN HOFFMAN (OWNER)
(773) 227-5121
Entity
Organization
Contact information
Practice address
2649 W DIVISION ST, CHICAGO, IL 60622-2851
(773) 227-5121
Mailing address
2649 W DIVISION ST, CHICAGO, IL 60622-2851
(773) 227-5121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027448
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01927448
—
IL
Enumeration date
06/03/2014
Last updated
06/03/2014
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