Chicago Dental Spa, Ltd.

NPI #1851529382 in Oak Park, Illinois

Provider Information

NPI Number
1851529382
Entity Type
Organization
Organization Name
Chicago Dental Spa, Ltd.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 23, 2009
Last Updated
Jun 23, 2009

Practice Location

Address
106 S RIDGELAND AVE
Address 2
#408
ZIP Code
60302-4613
Phone
(312) 545-8671

Authorized Official

Name
DR. CONRAD MAGNO, DDS
Title
PRESIDENT
Phone
(312) 545-8671

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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