Organization
GRAUER-KUCHTA DENTAL AS
Active
Other names
Complete Health Dentistry of Park Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEVEN KUCHTA DDS (PRESIDENT)
(847) 696-3240
Entity
Organization
Contact information
Practice address
101 S WASHINGTON AVE, SUITE 135, PARK RIDGE, IL 60068-4200
(847) 696-3240
Mailing address
101 S WASHINGTON ST, SUITE 135, PARK RIDGE, IL 60068-4200
(847) 696-3240
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/23/2007
Last updated
08/04/2023
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