Simon Boyarskiy DDS Ltd

NPI #1649038142 in Niles, Illinois

Provider Information

NPI Number: 1649038142
Entity Type: Organization
Organization Name: Simon Boyarskiy DDS Ltd
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Mar 8, 2024
Last Updated: Mar 8, 2024

Practice Location

Address: 8747 N OKETO AVE
City: Niles
State: Illinois
ZIP Code: 60714-2068
Phone: (847) 299-9400

Authorized Official

Name: SIMON BOYARSKIY, DDS
Title: DOCTOR
Phone: (847) 299-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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