Organization
MITAL SPATZ DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITAL SPATZ DDS (DENTIST)
(773) 908-0482
Entity
Organization
Contact information
Practice address
1474 W FOSTER AVE, 1E, CHICAGO, IL 60640-2145
(773) 908-0482
Mailing address
1474 W FOSTER AVE, 1E, CHICAGO, IL 60640-2145
(773) 908-0482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028295
IL
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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