Organization
DENTAL ARTS GROUP PLLC
Active
Other names
Lakeshore East Dental Arts, LAKEVIEW DENTAL ARTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT W OVERHOLSER DDS (DENTIST/OWNER)
(773) 807-2353
Entity
Organization
Contact information
Practice address
340 E RANDOLPH ST, CHICAGO, IL 60601-7418
(312) 434-5000
Mailing address
340 E RANDOLPH ST STE 100, CHICAGO, IL 60601-7409
(312) 434-5000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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