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Organization

ECO FRIENDLY DENTISTRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS GLORIA CHAVEZ (ACCESS MANAGER)
(773) 429-1400
Entity
Organization

Contact information

Practice address
4934 W 95TH ST, OAK LAWN, IL 60453-2504
(773) 429-1400
Mailing address
4934 W 95TH ST, OAK LAWN, IL 60453-2504
(773) 429-1400
(630) 596-9411

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
319027955
IL

Other

Enumeration date
03/22/2013
Last updated
07/16/2021
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