Organization
JEFFREY GAULE DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY I GAULE DDS (PRESIDENT)
(773) 281-7550
Entity
Organization
Contact information
Practice address
1105 W BELMONT AVE, CHICAGO, IL 60657-3312
(773) 281-7550
(773) 281-0808
Mailing address
1105 W BELMONT AVE, CHICAGO, IL 60657-3312
(773) 281-7550
(773) 281-0808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017454
IL
Other
Enumeration date
07/30/2008
Last updated
11/25/2014
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