Organization
H&W DENTAL ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN J WALLACE JR. D.D.S. (PRESIDENT)
(773) 488-6000
Entity
Organization
Contact information
Practice address
110 E 79TH ST, CHICAGO, IL 60619-2302
(773) 488-6000
(773) 488-3009
Mailing address
110 E 79TH ST, CHICAGO, IL 60619-2302
(773) 488-6000
(773) 488-3009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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