| Children's & Adolescent Dentistry, Ltd | |
|
2401 Ravine Way Suite 102 Glenview IL 60025-7645 | |
| (847) 901-1095 | |
| Not Available |
| Full Name | Children's & Adolescent Dentistry, Ltd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2401 Ravine Way, Glenview, Illinois |
| Authorized Official Name and Position | Leo Morton (VICE PRESIDENT) |
| Authorized Official Contact | 8472991095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's & Adolescent Dentistry, Ltd 2401 Ravine Way Suite 102 Glenview IL 60025-7645 Ph: (847) 901-1095 | Children's & Adolescent Dentistry, Ltd 2401 Ravine Way Suite 102 Glenview IL 60025-7645 Ph: (847) 901-1095 |
| NPI Number | 1609047349 |
|---|---|
| Provider Enumeration Date | 03/21/2008 |
| Last Update Date | 03/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609047349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Illinois) | Primary |
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