Organization
ASHLAND DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BOUTCHER (OFFICE MANAGER)
(312) 942-0200
Entity
Organization
Contact information
Practice address
325 S PAULINA ST STE 150, CHICAGO, IL 60612-3207
(312) 942-0200
(312) 666-4640
Mailing address
325 S PAULINA ST STE 150, CHICAGO, IL 60612-3207
(312) 942-0200
(312) 666-4640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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