Northwestern Dental Group Ltd

NPI #1508080110 in Niles, Illinois

Provider Information

NPI Number: 1508080110
Entity Type: Organization
Organization Name: Northwestern Dental Group Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 13, 2007
Last Updated: Apr 23, 2020

Practice Location

Address: 7745 N MILWAUKEE AVE
City: Niles
State: Illinois
ZIP Code: 60714-4735
Phone: (847) 967-6744

Authorized Official

Name: LAWRENCE MULVANEY
Title: OWNER
Phone: (847) 945-3515

Specialties & Taxonomy Codes

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

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