Belmont Dental P.c.

NPI #1205169802 in Chicago, Illinois

Provider Information

NPI Number: 1205169802
Entity Type: Organization
Organization Name: Belmont Dental P.c.
Primary Specialty: Dentist
Enumeration Date: Sep 14, 2009
Last Updated: Dec 5, 2016

Practice Location

Address: 5611 W. BELMONT AVE.
City: Chicago
State: Illinois
ZIP Code: 60634
Phone: (773) 887-5432

Authorized Official

Name: ROBERT ARTHUR SANDUSKY, DDS
Title: PRESIDENT
Phone: (847) 470-0240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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