Organization
ESSENTIAL DENTAL,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OPHELIA KAY CARLTON D.D.S. (DENTIST)
(773) 468-4554
Entity
Organization
Contact information
Practice address
255 E 103RD ST, CHICAGO, IL 60628-2807
(773) 468-4554
(773) 468-4848
Mailing address
255 E 103RD ST, CHICAGO, IL 60628-2807
(773) 468-4554
(773) 468-4848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/26/2006
Last updated
07/21/2022
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