Cosmetic And Implant Dental Center

NPI 1114275914 - Clinic/Center - 261QD0000X

NPI Details
NPI 1114275914
Enumeration Date 08/27/2012
Last Updated 08/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ROBERT BRUCE ROBERT
Position PRESIDENT
Phone (847) 675-7010
Fax (847) 675-7716
Practice Location
6921 N LINCOLN AVE
LINCOLNWOOD IL, 60712-2605, US
Phone (847) 675-7010
Fax (847) 675-7716
Business Location
6921 N LINCOLN AVE
LINCOLNWOOD IL, 60712-2605, US
Phone (847) 675-7010
Fax (847) 675-7716
Toxanomy
Taxonomy Code 261QD0000X
License State Illinois
License Number 019017109
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According to our database, Cosmetic And Implant Dental Center NPI is 1114275914, taxonomy code is 261QD0000X and license number is 019017109, license state is located at Illinois. Cosmetic And Implant Dental Center physically located at 6921 N Lincoln Ave, Lincolnwood IL, 60712-2605. NPI Number 1033115704 has the healthcare provider type.

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1114275914 NPI number is provided on an as is basis without warranty of any kind. 1114275914 is maintained by the National Plan & Provider Enumeration System. The contents of Cosmetic And Implant Dental Center are for informational purposes only.