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The Dental Specialists Valid NPI

Organization · Oral and Maxillofacial Surgery (Dentist) · Skokie, IL

NPI
1548640485
Type
Organization (Type 2)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223S0112X
License number
021001569 (IL)
Enumerated
2015-06-05
Last updated
2015-06-05
Practice location
5215 Old Orchard Rd, Suite 200
Skokie, IL 60077-1035
(847) 663-0400

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