Organization
MONITOR DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA G LYNCH (OWNER PRESIDENT)
(773) 622-4662
Entity
Organization
Contact information
Practice address
5826 W FULLERTON AVE, 1ST FLOOR, CHICAGO, IL 60639
(773) 622-4662
Mailing address
5826 W FULLERTON AVE, CHICAGO, IL 60639
(773) 622-4662
(773) 622-4662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021520
IL
Other
Enumeration date
05/04/2007
Last updated
07/18/2013
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