Old Orchard Periodontics & Implant Dentistry Ltd | |
64 Old Orchard Shopping Ctr Suite 310 Skokie IL 60077-1425 | |
(847) 982-0640 | |
Not Available |
Full Name | Old Orchard Periodontics & Implant Dentistry Ltd |
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Speciality | Dentist - Periodontics |
Location | 64 Old Orchard Shopping Ctr, Skokie, Illinois |
Authorized Official Name and Position | Kimberly Keating (OFFICE MANAGER) |
Authorized Official Contact | 8479820640 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Old Orchard Periodontics & Implant Dentistry Ltd 64 Old Orchard Shopping Ctr Suite 310 Skokie IL 60077-1425 Ph: () - | Old Orchard Periodontics & Implant Dentistry Ltd 64 Old Orchard Shopping Ctr Suite 310 Skokie IL 60077-1425 Ph: (847) 982-0640 |
NPI Number | 1821139171 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821139171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (Illinois) | Secondary |
1223P0300X | Dentist - Periodontics | (Illinois) | Primary |
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