| Elements Dental Studio | |
|
1605 Benson Ave Evanston IL 60201-3717 | |
| (847) 906-3120 | |
| Not Available |
| Full Name | Elements Dental Studio |
|---|---|
| Speciality | Dentist |
| Location | 1605 Benson Ave, Evanston, Illinois |
| Authorized Official Name and Position | Meira R Berman (PRESIDENT) |
| Authorized Official Contact | 9526933486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elements Dental Studio 902 Asbury Ave Evanston IL 60202-1638 Ph: (847) 868-8942 | Elements Dental Studio 1605 Benson Ave Evanston IL 60201-3717 Ph: (847) 906-3120 |
| NPI Number | 1669876983 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669876983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027464 (Illinois) | Primary |
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