John G. Ifantis, Dds, PC

NPI #1891245015 in Morton Grove, Illinois

Provider Information

NPI Number: 1891245015
Entity Type: Organization
Organization Name: John G. Ifantis, Dds, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 12, 2016
Last Updated: Oct 12, 2016

Practice Location

Address: 9251 WAUKEGAN RD
City: Morton Grove
State: Illinois
ZIP Code: 60053-2102
Phone: (847) 663-0003

Authorized Official

Name: DR. JOHN IFANTIS, DDS
Title: OFFICE MANAGER
Phone: (847) 663-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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