Organization
DHCC.,LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHORE GOPAL DMD (DENTIST/OWNER)
(224) 678-3511
Entity
Organization
Contact information
Practice address
5500 S DAMEN AVE, CHICAGO, IL 60636-1107
(224) 678-3511
Mailing address
5500 S DAMEN AVE, CHICAGO, IL 60636-1107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019023845
IL
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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