| NPI | 1063183044 |
|---|---|
| Doing Business As | FRIEDSTAT DENTAL ASSOCIATES |
| Doing Business As | ELITE DENTAL STUDIO |
| Doing Business As | THE CENTER FOR DENTAL EXCELLENCE |
| Doing Business As | TIDY |
| Doing Business As | ELGIN DENTAL ASSOCIATES |
| Doing Business As | ADVANCED LASER & COSMETIC DENTISTRY |
| Doing Business As | ADVANCED FAMILY DENTAL SPA |
| Doing Business As | AH SMILES |
| Doing Business As | NORTH DENTAL PROFESSIONALS (SKOKIE) |
| Doing Business As | NORTH DENTAL PROFESSIONALS (CHICAGO) |
| Doing Business As | CAROL STREAM DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MOORE Director Of Revenue Cycle 832-704-4262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-07-26 |