Organization
GATEWAY DENTAL CENTRE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENA SPENCER D.D.S. (PRESIDENT / DENTIST)
(630) 876-9200
Entity
Organization
Contact information
Practice address
534 MAIN ST, WEST CHICAGO, IL 60185-2843
(630) 876-9200
(630) 876-9201
Mailing address
534 MAIN ST, WEST CHICAGO, IL 60185-2843
(630) 876-9200
(630) 876-9201
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9176645
—
IL
Enumeration date
09/21/2006
Last updated
02/28/2008
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