Wicker Park Dental, Ltd
NPI #1003962192 in Chicago, Illinois
Provider Information
- NPI Number
- 1003962192
- Entity Type
- Organization
- Organization Name
- Wicker Park Dental, Ltd
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Feb 9, 2009
Practice Location
Authorized Official
- Name
- NIDZA ALICEA
- Title
- OFFICE MANAGER
- Phone
- (773) 235-0980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist |
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