| Presidential Dental | |
|
564 W Washington Blvd Chicago IL 60661-2509 | |
| (312) 902-3131 | |
| Not Available |
| Full Name | Presidential Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 564 W Washington Blvd, Chicago, Illinois |
| Authorized Official Name and Position | Peter A Michalak (DENTIST) |
| Authorized Official Contact | 3129023131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presidential Dental 564 W Washington Blvd Chicago IL 60661-2509 Ph: (312) 902-3131 | Presidential Dental 564 W Washington Blvd Chicago IL 60661-2509 Ph: (312) 902-3131 |
| NPI Number | 1194917013 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194917013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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