Dental Associates of Alsip, LLC

NPI #1669909370 in Alsip, Illinois

Provider Information

NPI Number
1669909370
Entity Type
Organization
Organization Name
Dental Associates of Alsip, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 12, 2017
Last Updated
May 12, 2017

Practice Location

Address
5061 WEST 111TH ST.
City
Alsip
ZIP Code
60803-6074
Phone
(708) 422-6655

Authorized Official

Name
KATHERINE GRUENEBERG
Title
CHIEF ADMINISTRATIVE OFFICER
Phone
(414) 778-5274

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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