| Pediatric Dentisrty Specialists P.c. | |
|
1103 Central Ave Wilmette IL 60091-2611 | |
| (847) 256-2501 | |
| (847) 256-2508 |
| Full Name | Pediatric Dentisrty Specialists P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1103 Central Ave, Wilmette, Illinois |
| Authorized Official Name and Position | Angela Kalb (DENTIST) |
| Authorized Official Contact | 8472562501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentisrty Specialists P.c. 1103 Central Ave Wilmette IL 60091-2611 Ph: (847) 256-2501 | Pediatric Dentisrty Specialists P.c. 1103 Central Ave Wilmette IL 60091-2611 Ph: (847) 256-2501 |
| NPI Number | 1790035251 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 09/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790035251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019023432 (Illinois) | Primary |
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