Orthodontic Experts West

NPI 1265836092 - Dentist - 1223X0400X

NPI Details
NPI 1265836092
Enumeration Date 10/22/2014
Last Updated 10/22/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name YAROSLAV YAROSLAV
Position ORTHODONTIST
Phone (847) 691-9401
Fax
Practice Location
4709 N HARLEM AVE
HARDWOOD HEIGHTS IL, 60706, US
Phone (847) 691-9401
Fax
Business Location
4709 N HARLEM AVE
HARWOOD HEIGHTS IL, 60706-4606, US
Phone
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Illinois
License Number 021.002488
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According to our database, Orthodontic Experts West NPI is 1265836092, taxonomy code is 1223X0400X and license number is 021.002488, license state is located at Illinois. Orthodontic Experts West physically located at 4709 N Harlem Ave, Hardwood Heights IL, 60706. NPI Number 1033115704 has the healthcare provider type.

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1265836092 NPI number is provided on an as is basis without warranty of any kind. 1265836092 is maintained by the National Plan & Provider Enumeration System. The contents of Orthodontic Experts West are for informational purposes only.