Dental Store North Shore, Ltd | |
9933 Lawler Ave Ste 501 Skokie IL 60077-4302 | |
(847) 329-9858 | |
Not Available |
Full Name | Dental Store North Shore, Ltd |
---|---|
Speciality | Dentist - General Practice |
Location | 9933 Lawler Ave Ste 501, Skokie, Illinois |
Authorized Official Name and Position | Joel Cohn (CORPORATE SECRETARY) |
Authorized Official Contact | 7736204824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental Store North Shore, Ltd 9933 Lawler Ave Ste 501 Skokie IL 60077-4302 Ph: (847) 329-9858 | Dental Store North Shore, Ltd 9933 Lawler Ave Ste 501 Skokie IL 60077-4302 Ph: (847) 329-9858 |
NPI Number | 1255815031 |
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Provider Enumeration Date | 09/18/2018 |
Last Update Date | 09/18/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255815031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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