North Shore Dentistry for Children
NPI #1396875662 in Evanston, Illinois
Provider Information
- NPI Number
- 1396875662
- Entity Type
- Organization
- Organization Name
- North Shore Dentistry for Children
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- TRACY CARLSON HALL
- Title
- OFFICE MANAGER
- Phone
- (847) 869-5417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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