Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1053755801 |
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| LBN Legal business name | CHICAGO DENTAL PARTNERS, LLC | ||||
| Authorized official | VINNY SANDHU - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/23/2013 | ||||
| Last updated | 04/23/2013 - About 13 years ago | ||||
| Identifiers |
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| ASSOCIATION HOUSE OF CHICAGO 1116 N. KEDZIE AVENUE CHICAGO, IL |
| LINDA JENIG 230 THOMAS DRIVE 10000 DALE, IL |
| VICTORIA R GREENLEE, MOT 719 N MARION STREET 60302, IL |