Mt Greenwood Dental Clinic
Mt Greenwood Dental Clinic provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
3135 W 111th StChicago, IL 60655-2223 Not confirmed with CMS for 14 years — call before visiting
Phone: (773) 238-4451
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019016104 (IL) |
|---|
Record details
| NPI number | 1558637926 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Brocker — Owner · (773) 238-4451 |
| NPI enumerated | March 29, 2012 |
| Last updated in NPPES | March 29, 2012 |
| Mailing address | 3135 W 111th St, Chicago, IL 60655-2223 |
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