Main Dental Associates, Ltd.
NPI #1699942722 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1699942722
- Entity Type
- Organization
- Organization Name
- Main Dental Associates, Ltd.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 8, 2008
- Last Updated
- May 8, 2008
Practice Location
- Address
- 6457 DEMPSTER ST
- City
- Morton Grove
- State
- Illinois
- ZIP Code
- 60053-2604
- Phone
- (847) 966-1700
Authorized Official
- Name
- DR. RICHARD A. WILSON, D.D.S.
- Title
- PRESIDENT
- Phone
- (847) 966-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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