Oak Park Dental Group

NPI #1962774794 in Chicago, Illinois

Provider Information

NPI Number: 1962774794
Entity Type: Organization
Organization Name: Oak Park Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 9, 2012
Last Updated: Feb 9, 2012

Practice Location

Address: 7034 W. NORTH AVE.
City: Chicago
State: Illinois
ZIP Code: 60707
Phone: (773) 889-9100

Authorized Official

Name: GERALD L. WINE, D.D.S.
Title: DENTIST
Phone: (773) 889-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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