Organization
DELGADO DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BARBER (ENROLLMENT TEAM LEAD)
(315) 454-6000
Entity
Organization
Contact information
Practice address
3201 N WESTERN AVE, CHICAGO, IL 60618-6325
(773) 598-1019
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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