Compass Dental of Lincoln Square

NPI #1144693748 in Chicago, Illinois

Provider Information

NPI Number: 1144693748
Entity Type: Organization
Organization Name: Compass Dental of Lincoln Square
Primary Specialty: Dentist
Enumeration Date: Nov 4, 2015
Last Updated: Nov 4, 2015

Practice Location

Address: 2334 W LAWRENCE AVE STE 215
City: Chicago
State: Illinois
ZIP Code: 60625-1036
Phone: (773) 561-5747

Authorized Official

Name: DR. BRANDON R PRUSA, D.D.S.
Title: OWNER
Phone: (773) 525-2011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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