Dentistar PC

NPI #1598203770 in Glenview, Illinois

Provider Information

NPI Number: 1598203770
Entity Type: Organization
Organization Name: Dentistar PC
Primary Specialty: Dentist
Enumeration Date: Feb 7, 2017
Last Updated: Feb 7, 2017

Practice Location

Address: 1615 MILWAUKEE AVE STE 120
City: Glenview
State: Illinois
ZIP Code: 60025-1444
Phone: (224) 938-9417

Authorized Official

Name: DR. SAM SHIN, DDS
Title: DENTIST
Phone: (224) 938-9417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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