MODERN DENTAL OF LOGAN SQUARE LLC 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. MODERN DENTAL OF LOGAN SQUARE LLC NPI is 1639625437. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2645 N MILWAUKEE
CHICAGO, IL
ZIP 60647
Phone: (773) 717-5509
The provider's authorized official is Phillip Palella .
The authorized official title is Owner and has the following contact phone number (773) 489-5700.
The enumeration date for this NPI number is 8/31/2016 and was last updated on 8/31/2016.