Organization
MONTCLARE DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADNAN ATCHA DMD (OWNER)
(773) 622-1818
Entity
Organization
Contact information
Practice address
7185 W. GRAND AVE., CHICAGO, IL 60707
(773) 622-1818
(773) 622-8370
Mailing address
7185 W. GRAND AVE., CHICAGO, IL 60707
(773) 622-1818
(773) 622-8370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004377
—
IL
Enumeration date
09/20/2006
Last updated
08/22/2020
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