Organization
CUSHING DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME CUSHING D.D.S. (PRESIDENT)
(773) 248-8836
Entity
Organization
Contact information
Practice address
2859 N HALSTED ST, #1, CHICAGO, IL 60657-7009
(773) 248-8836
Mailing address
2859 N HALSTED ST, #1, CHICAGO, IL 60657-7009
(773) 248-8836
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.027354
IL
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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