Individual
DR. ELLEN H DACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5342 S ARCHER AVE, CHICAGO, IL 60632-4949
(773) 284-2645
Mailing address
1730 N CLARK ST APT 1501, CHICAGO, IL 60614-5885
(708) 828-3737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.032200
IL
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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