| Dental Store North Shore, Ltd | |
|
9933 Lawler Ave Ste 501 Skokie IL 60077-4302 | |
| (847) 329-9858 | |
| Not Available |
| Full Name | Dental Store North Shore, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9933 Lawler Ave Ste 501, Skokie, Illinois |
| Authorized Official Name and Position | Joel Cohn (CORPORATE SECRETARY) |
| Authorized Official Contact | 7736204824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Store North Shore, Ltd 9933 Lawler Ave Ste 501 Skokie IL 60077-4302 Ph: (847) 329-9858 | Dental Store North Shore, Ltd 9933 Lawler Ave Ste 501 Skokie IL 60077-4302 Ph: (847) 329-9858 |
| NPI Number | 1255815031 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 09/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255815031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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