Organization
HALO DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP PALELLA DDS (OWNER)
(773) 489-5700
Entity
Organization
Contact information
Practice address
2033 W DIVISION ST, CHICAGO, IL 60622-8108
(773) 489-5700
(773) 340-4213
Mailing address
2033 W DIVISION ST, CHICAGO, IL 60622-8108
(773) 489-5700
(773) 340-4213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026403
IL
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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