Organization
MIDWEST ORTHODONTICS CENTER PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VESNA BELKIC (COO)
(773) 340-8318
Entity
Organization
Contact information
Practice address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 588-5055
Mailing address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 588-5055
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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