Organization
GREENWOOD FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARFIELD BATCHELOR (PRESIDENT)
(773) 238-1717
Entity
Organization
Contact information
Practice address
3500 W 111TH ST, CHICAGO, IL 60655-3300
(773) 238-1717
(773) 779-1656
Mailing address
3500 W 111TH ST, CHICAGO, IL 60655-3300
(773) 238-1717
(773) 779-1656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025104
IL
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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