PRO DENTAL IL - CHAD WISE PC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1023845302- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 712 E 87TH ST STE D, CHICAGO, IL, 606196246
- Phone
- (773) 783-9000
- Fax
- (773) 994-0067
Specialties & Taxonomies
Dentist, General Practice
Primary