Organization
LINCOLN DENTAL FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY M HANLEY DDS (OWNER DENTIST)
(773) 271-5200
Entity
Organization
Contact information
Practice address
5643 N FAIRFIELD, CHICAGO, IL 60659
(773) 271-5200
(773) 271-3280
Mailing address
5643 N FAIRFIELD, CHICAGO, IL 60659
(773) 271-5200
(773) 271-3280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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