Periodontal Medicine and Surgical Specialists, LLC

NPI #1790432219 in Glenview, Illinois

Provider Information

NPI Number
1790432219
Entity Type
Organization
Organization Name
Periodontal Medicine and Surgical Specialists, LLC
Primary Specialty
Dentist - Periodontics
Enumeration Date
Mar 4, 2022
Last Updated
Mar 4, 2022

Practice Location

Address
2300 LEHIGH AVE STE 210
ZIP Code
60026-1691
Phone
(630) 627-3930

Authorized Official

Name
MOLLY WALSH
Title
PRACTICE OPERATIONS DIRECTOR
Phone
(630) 627-3930

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist - PeriodonticsPeriodontics

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