Organization
G & A DENTAL PC
Active
Other names
Gamma Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA ANDERSON DDS (PRESIDENT)
(773) 465-4500
Entity
Organization
Contact information
Practice address
1514 W DEVON AVE, CHICAGO, IL 60660
(773) 465-4500
(773) 353-2102
Mailing address
P.O. BOX 564, LAKE BLUFF, IL 60044
(773) 465-4500
(773) 353-2102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060009736
IL
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
03/15/2008
Last updated
11/06/2013
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