Organization
MIDWEST DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HORBERG D.D.S. (DENTIST)
(773) 257-6485
Entity
Organization
Contact information
Practice address
2720 W 15TH ST, 114 KLING, CHICAGO, IL 60608-1610
(773) 257-6485
Mailing address
2720 W 15TH ST, CHICAGO, IL 60608-1610
(773) 257-6485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019013845
IL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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