Organization
MICHELE T BOGACKI DDS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE T. BOGACKI D.D.S. (OWNER)
(773) 777-4800
Entity
Organization
Contact information
Practice address
4452 N CENTRAL AVE, CHICAGO, IL 60630-3302
(773) 777-4800
(773) 777-4918
Mailing address
4452 N CENTRAL AVE, CHICAGO, IL 60630-3302
(773) 777-4800
(773) 777-4918
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Enumeration date
07/26/2006
Last updated
08/22/2020
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