WESTERN DENTAL GROUP PC NPI 1669899613

NPI Information

WESTERN DENTAL GROUP PC is a periodontics dentist in Chicago, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. WESTERN DENTAL GROUP PC NPI is 1669899613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3935 N WESTERN AVE
SUITE 1S
CHICAGO, IL
ZIP 60618-761
Phone: (773) 588-1141
Fax: (773) 588-1143

The provider's authorized official is Simona Liliana Katona .
The authorized official title is Dentist/owner and has the following contact phone number (312) 502-8073.

The enumeration date for this NPI number is 3/26/2014 and was last updated on 3/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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