Nwdg Niles LLC

NPI #1093089690 in Niles, Illinois

Provider Information

NPI Number: 1093089690
Entity Type: Organization
Organization Name: Nwdg Niles LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 28, 2012
Last Updated: Feb 28, 2012

Practice Location

Address: 7886 N MILWAUKEE AVE
City: Niles
State: Illinois
ZIP Code: 60714-3145
Phone: (847) 423-2488

Authorized Official

Name: DR. LAWRENCE MULVANEY, D.D.S.
Title: SOLE MEMBER
Phone: (847) 423-2488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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