Town Centre Dental Group, Ltd.

NPI #1154530459 in Evanston, Illinois

Provider Information

NPI Number: 1154530459
Entity Type: Organization
Organization Name: Town Centre Dental Group, Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: May 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 636 CHURCH ST
Address 2: SUITE 309
City: Evanston
State: Illinois
ZIP Code: 60201-4508
Phone: (847) 328-1180

Authorized Official

Name: ROBERT S. KRUEGER, D.D.S.
Title: PRESIDENT
Phone: (847) 328-1180

Specialties & Taxonomy Codes

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

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