25 EAST DENTAL LLC
Organization (NPI-2)
Active
Preferred Provider Organization
Provider Information
- NPI Number
1225583776- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 25 E WASHINGTON ST SUITE 1115, CHICAGO, IL, 606021708
- Phone
- (630) 339-3172
Specialties & Taxonomies
Preferred Provider Organization
Primary License: IL #019018378