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Organization

ORTHODONTIC EXPERTS

Active
Parent organization
ORTHODONTIC EXPERTS LTD
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHODONTIC EXPERTS LTD
Authorized official
MONIKA BZDAL (MANGER)
(773) 801-7171
Entity
Organization

Contact information

Practice address
1654 W NORTH AVE, CHICAGO, IL 60622-2255
(312) 767-2088
Mailing address
1654 W NORTH AVE, CHICAGO, IL 60622-2255

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002488
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019028280
IL
Enumeration date
01/24/2018
Last updated
01/21/2020
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