Organization
AJ TROTTA DDS & ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS TROTTA (OFFICE MANAGER)
(773) 545-2881
Entity
Organization
Contact information
Practice address
4224 W LAWRENCE AVE, CHICAGO, IL 60630-2729
(773) 545-2881
(773) 545-1142
Mailing address
4224 W LAWRENCE AVE, CHICAGO, IL 60630-2729
(773) 545-2881
(773) 545-1142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19014696
IL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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