Organization
EAST VILLAGE DENTAL CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUI J. BARRETO (INSURANCE COORDINATOR)
(773) 278-6622
Entity
Organization
Contact information
Practice address
901 N ASHLAND AVE, CHICAGO, IL 60622-5111
(773) 278-6622
(888) 425-2271
Mailing address
901 N ASHLAND AVE, CHICAGO, IL 60622-5111
(773) 278-6622
(888) 425-2271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016514
IL
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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