| Glengrove Dental Associates | |
|
1805 Glenview Rd Glenview IL 60025-2942 | |
| (847) 724-6554 | |
| (847) 724-6578 |
| Full Name | Glengrove Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1805 Glenview Rd, Glenview, Illinois |
| Authorized Official Name and Position | Harold Kenneth Schmulenson (PRESIDENT) |
| Authorized Official Contact | 8477246554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glengrove Dental Associates 1805 Glenview Rd Glenview IL 60025-2942 Ph: (847) 724-6554 | Glengrove Dental Associates 1805 Glenview Rd Glenview IL 60025-2942 Ph: (847) 724-6554 |
| NPI Number | 1376704254 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376704254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-018199 (Illinois) | Primary |
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