| Kunnel Dental Center P.c. | |
|
9933 Lawler Ave #401 Skokie IL 60077-3703 | |
| (847) 675-7090 | |
| Not Available |
| Full Name | Kunnel Dental Center P.c. |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 9933 Lawler Ave, Skokie, Illinois |
| Authorized Official Name and Position | Jessie Kunnel (PRESIDENT) |
| Authorized Official Contact | 8476755590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kunnel Dental Center P.c. 9933 Lawler Ave #401 Skokie IL 60077-3703 Ph: (847) 675-7090 | Kunnel Dental Center P.c. 9933 Lawler Ave #401 Skokie IL 60077-3703 Ph: (847) 675-7090 |
| NPI Number | 1861837973 |
|---|---|
| Provider Enumeration Date | 05/02/2013 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861837973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 019024836 (Illinois) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019024293 (Illinois) | Secondary |
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