Ash Dental PC

NPI #1053584599 in Chicago, Illinois

Provider Information

NPI Number: 1053584599
Entity Type: Organization
Organization Name: Ash Dental PC
Primary Specialty: Dentist
Enumeration Date: Apr 4, 2008
Last Updated: Sep 6, 2012

Practice Location

Address: 2316 W MADISON ST
City: Chicago
State: Illinois
ZIP Code: 60612-2228
Phone: (312) 491-0601

Authorized Official

Name: DIMITRI HARALAMPOPOULOS, DDS
Title: OWNER
Phone: (312) 491-0601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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