Pediatric Dental Surgical Associates Pllc

NPI #1013480755 in Chicago, Illinois

Provider Information

NPI Number
1013480755
Entity Type
Organization
Organization Name
Pediatric Dental Surgical Associates Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jan 4, 2019
Last Updated
Jan 4, 2019

Practice Location

Address
2550 W ADDISON ST
ZIP Code
60618-5952
Phone
(773) 423-6050

Authorized Official

Name
JOHNNY KUTTAB
Title
CEO
Phone
(773) 423-6050

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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