| Leading Edge Dental Center Ltd | |
|
4355 Howard St Skokie IL 60076-3755 | |
| (847) 679-0110 | |
| Not Available |
| Full Name | Leading Edge Dental Center Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4355 Howard St, Skokie, Illinois |
| Authorized Official Name and Position | Michael A Goone (PRESIDENT) |
| Authorized Official Contact | 8476790110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leading Edge Dental Center Ltd 4355 Howard St Skokie IL 60076-3755 Ph: (847) 679-0110 | Leading Edge Dental Center Ltd 4355 Howard St Skokie IL 60076-3755 Ph: (847) 679-0110 |
| NPI Number | 1285726364 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285726364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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