Paul Ethan Wine, DDS is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Paul Ethan Wine, DDS NPI is 1316093438. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2632 W DIVISION ST
CHICAGO, IL
ZIP 60622-850
Phone: (773) 235-0980
Fax: (773) 235-1249
The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/8/2007.