| Optima Dental Care | |
|
9101 N Greenwood Ave Suite #202 Niles IL 60714-1499 | |
| (847) 296-9100 | |
| (847) 296-9101 |
| Full Name | Optima Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9101 N Greenwood Ave, Niles, Illinois |
| Authorized Official Name and Position | Seung Eun Baik (PRESIDENT) |
| Authorized Official Contact | 8472969100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optima Dental Care 9101 N Greenwood Ave Suite #202 Niles IL 60714-1499 Ph: (847) 296-9100 | Optima Dental Care 9101 N Greenwood Ave Suite #202 Niles IL 60714-1499 Ph: (847) 296-9100 |
| NPI Number | 1689849291 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689849291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019026254 (Illinois) | Primary |
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