| Northshore Metropolitan Dental Associates Inc | |
|
1790 Nations Dr Suite 212 Gurnee IL 60031-9164 | |
| (847) 336-4880 | |
| Not Available |
| Full Name | Northshore Metropolitan Dental Associates Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1790 Nations Dr, Gurnee, Illinois |
| Authorized Official Name and Position | Victor Ka-tai Lau (PRESIDENT) |
| Authorized Official Contact | 8476736770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Metropolitan Dental Associates Inc 1790 Nations Dr Suite 212 Gurnee IL 60031-9164 Ph: (847) 336-4880 | Northshore Metropolitan Dental Associates Inc 1790 Nations Dr Suite 212 Gurnee IL 60031-9164 Ph: (847) 336-4880 |
| NPI Number | 1174651459 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174651459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025154 (Illinois) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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