Chicago Family Dental Center PC

NPI #1104047091 in Chicago, Illinois

Provider Information

NPI Number: 1104047091
Entity Type: Organization
Organization Name: Chicago Family Dental Center PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 55 E WASHINGTON ST STE 2141
City: Chicago
State: Illinois
ZIP Code: 60602-2294
Phone: (312) 551-0500

Authorized Official

Name: DR. GARY GEORGE WEGMANN
Title: PRESIDENT
Phone: (312) 551-0500

Specialties & Taxonomy Codes

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

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