Organization
DENTAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN SEIDEL (BUSINESS MANAGER)
(312) 829-4208
Entity
Organization
Contact information
Practice address
1725 W HARRISON ST, SUITE 717, CHICAGO, IL 60612-3841
(312) 829-4208
(312) 829-0987
Mailing address
1725 W HARRISON ST, SUITE 717, CHICAGO, IL 60612-3841
(312) 829-4208
(312) 829-0987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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