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AC DENTISTRY, LLC

Dental Care Facilities

Chicago, Illinois

Provider NPI: 1700051141

Organization Information:
Organization Name:  AC DENTISTRY, LLC
Organization is not Subpart
Authorized Official:  ADRIAN  CODEL  DENTIST  773-3278550

Practice Location:
1209 W DIVERSEY PKWY  CHICAGO, IL 60614 US
Tel: 773-327-8550  Fax: 773-327-8565

Business Mailing Address:
1209 W DIVERSEY PKWY  CHICAGO, IL 60614 US
Tel: 773-327-8550  Fax: 773-327-8565

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental
IL019025709





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