Ibbi Dental Clinic PC

NPI #1902941263 in Morton Grove, Illinois

Provider Information

NPI Number: 1902941263
Entity Type: Organization
Organization Name: Ibbi Dental Clinic PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 21, 2007
Last Updated: Aug 16, 2007

Practice Location

Address: 7963 GOLF ROAD
City: Morton Grove
State: Illinois
ZIP Code: 60053
Phone: (847) 583-0033

Authorized Official

Name: DR. IGOR BOTVINNIK, DDS
Title: PRESIDENT OWNER
Phone: (847) 583-0033

Specialties & Taxonomy Codes

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

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