DENTAL SHINE III P C

NPI # 

Practice Address:

2902 W 63Rd St.

Chicago, IL, 60629

Practice Phone:

773-776-6666

License Number:

019026154

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X

Updated by NPPES on 10/15/2009. You can view the original data set for NPI # 1902131444 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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DENTAL SHINE III P C's

CMS CPT® coding data

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DENTAL SHINE III P C's

CMS prescription data

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