New Age Dental Holdings, Ltd
NPI #1144762709 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1144762709
- Entity Type
- Organization
- Organization Name
- New Age Dental Holdings, Ltd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 14, 2016
- Last Updated
- Nov 14, 2016
Practice Location
- Address
- 8930 WAUKEGAN RD
- Address 2
- SUITE 110
- City
- Morton Grove
- State
- Illinois
- ZIP Code
- 60053-2126
- Phone
- (847) 967-0400
Authorized Official
- Name
- DR. GLENN SHULKIN, DDS
- Title
- PRESIDENT
- Phone
- (847) 301-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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