Brickyard Dental Center

NPI #1033381090 in Chicago, Illinois

Provider Information

NPI Number: 1033381090
Entity Type: Organization
Organization Name: Brickyard Dental Center
Primary Specialty: Dentist
Enumeration Date: Mar 31, 2008
Last Updated: Mar 31, 2008

Practice Location

Address: 6020 W DIVERSEY AVE
City: Chicago
State: Illinois
ZIP Code: 60639-1108
Phone: (773) 237-0707

Authorized Official

Name: DR. CHRISTOS A TSALIAGOS, D.D.S.
Title: PRESIDENT
Phone: (773) 237-0707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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