Organization
DENTAL TOWN LTD
Active
Parent organization
DENTAL TOWN LTD
Other names
Dental Town Little Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL TOWN LTD
Authorized official
SAMANTHA GONZALEZ (VP OF OPERATIONS)
(708) 713-5000
Entity
Organization
Contact information
Practice address
3004 W 26TH ST, CHICAGO, IL 60623-4128
(773) 231-8000
(773) 231-8000
Mailing address
3004 W 26TH ST, CHICAGO, IL 60623-4128
(773) 231-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
12/08/2025
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