Organization
PULASKI DENTAL CENTER P.C
Active
Other names
pulaski dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM CHAN DDS (DENTIST)
(773) 585-1980
Entity
Organization
Contact information
Practice address
5607 S. PULASKI ROAD, CHICAGO, IL 60629
(773) 585-1980
(773) 585-1517
Mailing address
5607 S. PULASKI ROAD, CHICAGO, IL 60629
(773) 585-1980
(773) 585-1517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19024765
IL
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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