Belmont Dental Group PC

NPI #1124308911 in Chicago, Illinois

Provider Information

NPI Number: 1124308911
Entity Type: Organization
Organization Name: Belmont Dental Group PC
Primary Specialty: Dentist
Enumeration Date: Aug 24, 2011
Last Updated: Aug 24, 2011

Practice Location

Address: 5227 W. BELMONT AVE
City: Chicago
State: Illinois
ZIP Code: 60641
Phone: (773) 685-6177

Authorized Official

Name: DR. JEFFERY TAUGNER, DDS
Title: DENTIST
Phone: (773) 685-6177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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