Skokie Dental Professionals LLC

NPI #1841957487 in Skokie, Illinois

Provider Information

NPI Number: 1841957487
Entity Type: Organization
Organization Name: Skokie Dental Professionals LLC
Primary Specialty: Dentist
Enumeration Date: Nov 18, 2021
Last Updated: Nov 18, 2021

Practice Location

Address: 4709 GOLF RD STE 809
City: Skokie
State: Illinois
ZIP Code: 60076-1258
Phone: (847) 675-2100

Authorized Official

Name: MITCH WEILAND
Title: ASSISTANT CONTROLLER
Phone: (608) 343-0818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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