Organization
METROSMILES - GAGE PARK DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOS TSALIAGOS (PRESIDENT)
(773) 925-5020
Entity
Organization
Contact information
Practice address
5825 S KEDZIE AVE, CHICAGO, IL 60629-3212
(773) 925-5020
Mailing address
5825 S KEDZIE AVE, CHICAGO, IL 60629-3212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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