Organization
LINCOLN SQUARE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SAGUN DDS, MS (ORTHODONTIST)
(847) 668-7316
Entity
Organization
Contact information
Practice address
4352 N LEAVITT ST, CHICAGO, IL 60618-3473
(773) 887-0772
Mailing address
4352 N LEAVITT ST, CHICAGO, IL 60618-3473
(773) 887-0772
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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