Organization
DENTAL HAUSE PLLC
Active
Other names
Dental Hause
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY MANCINI DMD, MBA (PEDIATRIC DENTIST)
(872) 710-3666
Entity
Organization
Contact information
Practice address
3666 W IRVING PARK RD, CHICAGO, IL 60618-4132
(872) 710-3666
Mailing address
3666 W IRVING PARK RD, CHICAGO, IL 60618-4132
(872) 710-3666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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