Organization
MOBILEDOC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK G DAWSON DDS (PRESIDENT/CEO)
(312) 953-8708
Entity
Organization
Contact information
Practice address
1525 E 53RD ST, SUITE 505, CHICAGO, IL 60615-4557
(312) 953-8708
Mailing address
1525 E 53RD ST, SUITE 505, CHICAGO, IL 60615-4557
(312) 953-8708
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019022252
IL
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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