Devon Dental Clinic,ltd

NPI #1134400831 in Chicago, Illinois

Provider Information

NPI Number: 1134400831
Entity Type: Organization
Organization Name: Devon Dental Clinic,ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 8, 2011
Last Updated: Oct 6, 2011

Practice Location

Address: 6259 N MILWAUKEE AVE
City: Chicago
State: Illinois
ZIP Code: 60646-3735
Phone: (773) 631-6607

Authorized Official

Name: DR. HALINA TERESA LECH, DDS
Title: PRESIDENT
Phone: (773) 631-6607

Specialties & Taxonomy Codes

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

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