| Preferred Dental, P.c. | |
|
1029 Howard St Suite 201 Evanston IL 60202-3877 | |
| (847) 491-0660 | |
| Not Available |
| Full Name | Preferred Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1029 Howard St, Evanston, Illinois |
| Authorized Official Name and Position | Charles A Mcbroom (DENTIST) |
| Authorized Official Contact | 8474910660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Dental, P.c. 1029 Howard St Suite 201 Evanston IL 60202-3877 Ph: (847) 491-0660 | Preferred Dental, P.c. 1029 Howard St Suite 201 Evanston IL 60202-3877 Ph: (847) 491-0660 |
| NPI Number | 1306173299 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306173299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026519 (Illinois) | Primary |
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