Organization
CHER THE TOOTHFAIRY
Active
Other names
Montrose Toothfairy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERNARA BAKER D.D.S. (OWNER GENERAL DENTIST)
(773) 754-8610
Entity
Organization
Contact information
Practice address
2525 W MONTROSE AVE, FLOOR 1, CHICAGO, IL 60618-3464
(773) 754-8610
Mailing address
2525 W MONTROSE AVE, FLOOR 1, CHICAGO, IL 60618-3464
(773) 754-8610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027669
IL
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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