| Clear Ridge Dental Care | |
|
6450 W 63rd St Chicago IL 60638-5028 | |
| (773) 586-8525 | |
| Not Available |
| Full Name | Clear Ridge Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6450 W 63rd St, Chicago, Illinois |
| Authorized Official Name and Position | Lina Kabar (PRESIDENT) |
| Authorized Official Contact | 9549093253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Ridge Dental Care 222 S Racine Ave Unit 408 Chicago IL 60607-2870 Ph: (954) 909-3253 | Clear Ridge Dental Care 6450 W 63rd St Chicago IL 60638-5028 Ph: (773) 586-8525 |
| NPI Number | 1508694845 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508694845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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