Associated Dental Center

NPI #1073676946 in Chicago, Illinois

Provider Information

NPI Number: 1073676946
Entity Type: Organization
Organization Name: Associated Dental Center
Primary Specialty: Dentist
Enumeration Date: Dec 19, 2006
Last Updated: Oct 29, 2013

Practice Location

Address: 747 E 79TH STREET
City: Chicago
State: Illinois
ZIP Code: 60619
Phone: (773) 874-0404

Authorized Official

Name: DR. CHARLES L OWENS, DMD
Title: DENTIST
Phone: (773) 874-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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