Long Grove Dental Studio

NPI #1568751436 in Long Grove, Illinois

Provider Information

NPI Number: 1568751436
Entity Type: Organization
Organization Name: Long Grove Dental Studio
Primary Specialty: Dentist
Enumeration Date: Mar 31, 2011
Last Updated: Mar 31, 2011

Practice Location

Address: 3976 ROUTE 22
Address 2: SUITE E
City: Long Grove
State: Illinois
ZIP Code: 60047
Phone: (847) 719-1973

Authorized Official

Name: DR. NICHOLE LEE DEMARS, DDS
Title: OWNER/DENTIST
Phone: (847) 719-1973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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DR. Robert J. Villa, DDS	Dentist	Long Grove	AI Deep Dive
DR. Mark Allen Heiss, D.D.S.	Dentist	Long Grove	AI Deep Dive
DR. Tracey Ray Hughes, D.D.S.	Dentist	Lake Forest	AI Deep Dive
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Lockport Dental Group, Ltd	Dentist	Lockport	AI Deep Dive

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