| Bk Dental-evanston Llc | |
|
636 Church St Ste 304 Evanston IL 60201-4579 | |
| (312) 343-0415 | |
| (630) 766-2537 |
| Full Name | Bk Dental-evanston Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 636 Church St Ste 304, Evanston, Illinois |
| Authorized Official Name and Position | Borislav Denkov Kaltchev (DENTIST/OWNER) |
| Authorized Official Contact | 3123430415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bk Dental-evanston Llc 259 Bristol St Northfield IL 60093-3216 Ph: (312) 343-0415 | Bk Dental-evanston Llc 636 Church St Ste 304 Evanston IL 60201-4579 Ph: (312) 343-0415 |
| NPI Number | 1033695309 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033695309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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