| Dentistar PC | |
|
1615 Milwaukee Ave Ste 120 Glenview IL 60025-1444 | |
| (224) 938-9417 | |
| (224) 938-9453 |
| Full Name | Dentistar PC |
|---|---|
| Speciality | Dentist |
| Location | 1615 Milwaukee Ave Ste 120, Glenview, Illinois |
| Authorized Official Name and Position | Sam Shin (DENTIST) |
| Authorized Official Contact | 2249389417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistar PC 1615 Milwaukee Ave Ste 120 Glenview IL 60025-1444 Ph: (224) 938-9417 | Dentistar PC 1615 Milwaukee Ave Ste 120 Glenview IL 60025-1444 Ph: (224) 938-9417 |
| NPI Number | 1598203770 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598203770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027805 (Illinois) | Primary |
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