Board of Trustees of the University of Illinois
NPI #1992873921 in Chicago, Illinois
Provider Information
- NPI Number
- 1992873921
- Entity Type
- Organization
- Organization Name
- Board of Trustees of the University of Illinois
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Dec 12, 2022
Practice Location
Authorized Official
- Name
- DAVID M CLARK, BS, MA, DDS
- Title
- ASSOCIATE DEAN FOR PATIENT SERVICES
- Phone
- (312) 996-3544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist |
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