| Honore Woodside Dds Ltd | |
|
4711 Golf Rd. Suite 1225 Skokie IL 60076 | |
| (847) 329-0464 | |
| (847) 329-0463 |
| Full Name | Honore Woodside Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4711 Golf Rd., Skokie, Illinois |
| Authorized Official Name and Position | Honore Woodside (PRESIDENT) |
| Authorized Official Contact | 8473290464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Honore Woodside Dds Ltd 4711 Golf Rd. Suite 1225 Skokie IL 60076 Ph: (847) 329-0464 | Honore Woodside Dds Ltd 4711 Golf Rd. Suite 1225 Skokie IL 60076 Ph: (847) 329-0464 |
| NPI Number | 1801959937 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 10/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801959937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019020800 (Illinois) | Primary |
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