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Organization

CHICAGO GENERAL & DENTAL IMPLANT SPECIALISTS LLC

Active
Other names
Dentpol Dental Specialist, Apex Oral Surgery and Dental Implant Center
Organization subpart
No

Provider details

NPI number
Authorized official
GUNJAN JAIN DDS (MANAGER)
(708) 860-1903
Entity
Organization

Contact information

Practice address
7407 W IRVING PARK RD, CHICAGO, IL 60634-2139
(773) 625-2626
(773) 625-4071
Mailing address
7407 W IRVING PARK RD, CHICAGO, IL 60634-2139
(773) 625-2626
(773) 625-4071

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
05/15/2024
Last updated
05/15/2024
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