Organization
MELISSA CONNELL, DDS
Active
Other names
Magnolia Pediatric Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA CONNELL DDS (OWNER)
(312) 848-2282
Entity
Organization
Contact information
Practice address
1615 N WOLCOTT AVE, CHICAGO, IL 60622-1338
(312) 848-2282
Mailing address
1615 N WOLCOTT AVE STE 1, CHICAGO, IL 60622-1362
(312) 848-2282
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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