Organization
GREATER CHICAGO DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON JUAN RODRIGUEZ D.M.D. (PRESIDENT)
(773) 376-1111
Entity
Organization
Contact information
Practice address
4600 S PULASKI RD, CHICAGO, IL 60632-4038
(773) 376-1111
(773) 376-3099
Mailing address
4600 S PULASKI RD, CHICAGO, IL 60632-4038
(773) 376-1111
(773) 376-3099
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.027200
IL
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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