Richard B. Diverde, Dds, Ltd

NPI #1043767916 in Chicago, Illinois

Provider Information

NPI Number: 1043767916
Entity Type: Organization
Organization Name: Richard B. Diverde, Dds, Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 8, 2016
Last Updated: Sep 8, 2016

Practice Location

Address: 30 N MICHIGAN AVE
Address 2: STE. 1405
City: Chicago
State: Illinois
ZIP Code: 60602-3402
Phone: (312) 263-7822

Authorized Official

Name: DR. RICHARD B DIVERDE, D.D.S.
Title: OWNER/GENERAL DENTIST
Phone: (312) 263-7822

Specialties & Taxonomy Codes

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

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