PRO DENTAL IL - CHAD WISE PC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1942037221- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2101 E 71ST ST STE C, CHICAGO, IL, 606492119
- Phone
- (773) 241-7000
- Fax
- (773) 241-7007
Specialties & Taxonomies
Dentist, General Practice
Primary