Organization
GE BARSA DDS LTD.
Active
Other names
Belmont & California Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE E BARSA DDS (OWNER)
(773) 267-9777
Entity
Organization
Contact information
Practice address
3190 N ELSTON AVE, CHICAGO, IL 60618-5845
(773) 267-9777
Mailing address
3190 N ELSTON AVE, CHICAGO, IL 60618-5845
(773) 267-9777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194156042
NPI
IL
01
—
1497952816
NPI
IL
01
—
1699026302
NPI
IL
Enumeration date
07/07/2014
Last updated
07/07/2014
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