Evanston Periodontics, LLC

NPI #1669499505 in Evanston, Illinois

Provider Information

NPI Number
1669499505
Entity Type
Organization
Organization Name
Evanston Periodontics, LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Jul 16, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
636 CHURCH ST
Address 2
SUITE # 722
ZIP Code
60201-4508
Phone
(847) 475-7754

Authorized Official

Name
DR. ROGER ALBERT NOUNEH, DMD; MS
Title
MANAGING MEMBER
Phone
(312) 927-8882

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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