Dental Store North Shore, Ltd

NPI #1255815031 in Skokie, Illinois

Provider Information

NPI Number
1255815031
Entity Type
Organization
Organization Name
Dental Store North Shore, Ltd
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 18, 2018
Last Updated
Sep 18, 2018

Practice Location

Address
9933 LAWLER AVE STE 501
City
Skokie
ZIP Code
60077-4302
Phone
(847) 329-9858

Authorized Official

Name
MR. JOEL COHN
Title
CORPORATE SECRETARY
Phone
(773) 620-4824

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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