Winnetka Dental Group

NPI 1073802948 - Dentist - 1223P0700X

NPI Details
NPI 1073802948
Enumeration Date 03/31/2011
Last Updated 03/31/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MICHAEL A MICHAEL
Position OWNER AND DENTIST
Phone (847) 441-5939
Fax (847) 441-7148
Practice Location
716 ELM ST
WINNETKA IL, 60093-2556, US
Phone (847) 441-5939
Fax (847) 441-7148
Business Location
716 ELM ST
WINNETKA IL, 60093-2556, US
Phone (847) 441-5939
Fax (847) 441-7148
Toxanomy
Taxonomy Code 1223P0700X
License State Illinois
License Number 019016803
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According to our database, Winnetka Dental Group NPI is 1073802948, taxonomy code is 1223P0700X and license number is 019016803, license state is located at Illinois. Winnetka Dental Group physically located at 716 Elm St, Winnetka IL, 60093-2556. NPI Number 1033115704 has the healthcare provider type.

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1073802948 NPI number is provided on an as is basis without warranty of any kind. 1073802948 is maintained by the National Plan & Provider Enumeration System. The contents of Winnetka Dental Group are for informational purposes only.