D2 Dental at Oak Street, P.c.

NPI #1013329127 in Chicago, Illinois

Provider Information

NPI Number: 1013329127
Entity Type: Organization
Organization Name: D2 Dental at Oak Street, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 22, 2014
Last Updated: May 22, 2014

Practice Location

Address: 4318 S STATE ST
City: Chicago
State: Illinois
ZIP Code: 60609-3701
Phone: (773) 285-9304

Authorized Official

Name: BORIS LABINOV
Title: AGENT
Phone: (708) 445-2668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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