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Organization

BRICKTON DENTAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HALINA LECH (DENTIST)
(773) 987-9801
Entity
Organization

Contact information

Practice address
444 N NORTHWEST HWY STE 230, PARK RIDGE, IL 60068-3292
(773) 987-9801
Mailing address
444 N NORTHWEST HWY STE 230, PARK RIDGE, IL 60068-3292
(773) 987-9801

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223P0300X
Periodontics

Other

Enumeration date
11/24/2021
Last updated
11/24/2021
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