Chicago Dental Society Foundation

NPI #1194497081 in Wheaton, Illinois

Provider Information

NPI Number: 1194497081
Entity Type: Organization
Organization Name: Chicago Dental Society Foundation
Primary Specialty: Dentist
Enumeration Date: Sep 29, 2021
Last Updated: Sep 29, 2021

Practice Location

Address: 416 E ROOSEVELT RD STE 102
City: Wheaton
State: Illinois
ZIP Code: 60187-5589
Phone: (630) 260-8530

Authorized Official

Name: KRISTEN WEBER
Title: ED
Phone: (312) 836-7301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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