Organization
ENGLEWOOD DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIRZA BAIG (ADMINISTRATOR)
(773) 244-4800
Entity
Organization
Contact information
Practice address
7114 S VINCENNES AVE, CHICAGO, IL 60621-3506
(773) 244-4800
(773) 244-4807
Mailing address
4332 N ELSTON AVE, CHICAGO, IL 60641-2144
(773) 754-3500
(773) 754-3504
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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