Organization
A 2 Z DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASA STOJANOVIC DDS (DOCTOR)
(312) 212-0000
Entity
Organization
Contact information
Practice address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(312) 212-0000
(312) 212-0001
Mailing address
1605 S MICHIGAN AVE, CHICAGO, IL 60616-1209
(312) 212-0000
(312) 212-0001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166353
—
IL
Enumeration date
04/01/2008
Last updated
04/01/2008
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