Pdaspc

NPI #1326661778 in Evanston, Illinois

Provider Information

NPI Number: 1326661778
Entity Type: Organization
Organization Name: Pdaspc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 20, 2020
Last Updated: May 20, 2020

Practice Location

Address: 1029 HOWARD ST STE 201
City: Evanston
State: Illinois
ZIP Code: 60202-3877
Phone: (847) 491-0660

Authorized Official

Name: FRANK L. KARKAZIS, DDS
Title: PRESIDENT
Phone: (847) 491-0660

Specialties & Taxonomy Codes

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

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