| Children's & Adolescent Dentistry, Ltd | |
|
9101 N Greenwood Ave Suite 308 Niles IL 60714-1499 | |
| (847) 299-1095 | |
| Not Available |
| Full Name | Children's & Adolescent Dentistry, Ltd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9101 N Greenwood Ave, Niles, Illinois |
| Authorized Official Name and Position | Leo D 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 9101 N Greenwood Ave Suite 308 Niles IL 60714-1499 Ph: (847) 299-1095 | Children's & Adolescent Dentistry, Ltd 9101 N Greenwood Ave Suite 308 Niles IL 60714-1499 Ph: (847) 299-1095 |
| NPI Number | 1023032604 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023032604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Illinois) | Primary |
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