Whalio Doctors

NPI 1104284710

Ez Dental

Organisation Dental Laboratory Chicago, IL

Practice location

Address
5621 W.Montrose Avenue, Chicago, IL 60634
Phone
(773) 427-1000
Mailing address
5621 W.Montrose Ave, Chicago, IL 60634

Authorised official

Name
Abdul Majzoub
Title
Boss
Phone
(773) 583-4455

Registered specialties

Dental Laboratory Primary
Laboratories Taxonomy 292200000X Licence 019023027 (IL)

Registry record

NPI
1104284710
Entity type
Organization
NPI issued
10 Feb 2016
Record last updated
10 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.