Organization
DENTAL EXPERTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY KLUCK (ENROLLMENT DIRECTOR)
(920) 838-1649
Entity
Organization
Contact information
Practice address
8301 S HOLLAND RD, CHICAGO, IL 60620-1303
(312) 274-0308
Mailing address
8301 S HOLLAND RD, CHICAGO, IL 60620-1303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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