Organization
GET STR8 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MARTIN MCCOY DDS (OWNER)
(773) 286-5935
Entity
Organization
Contact information
Practice address
5947 W MONTROSE AVE, CHICAGO, IL 60634-1629
(773) 286-5935
Mailing address
5947 W MONTROSE AVE, CHICAGO, IL 60634-1629
(773) 286-5935
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021-001497
IL
Other
Enumeration date
07/28/2006
Last updated
07/02/2008
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