Compass Dental, P.c.

NPI #1104174374 in Chicago, Illinois

Provider Information

NPI Number: 1104174374
Entity Type: Organization
Organization Name: Compass Dental, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 20, 2012
Last Updated: Aug 20, 2012

Practice Location

Address: 4413 N CLARK ST
City: Chicago
State: Illinois
ZIP Code: 60640-5403
Phone: (785) 979-5147

Authorized Official

Name: DR. BRANDON PRUSA, D.D.S.
Title: PRESIDENT
Phone: (785) 979-5147

Specialties & Taxonomy Codes

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

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