OLD ORCHARD DENTAL GROUP P.C.

SKOKIE, IL
NPI1578886206
Entity TypeOrganization
Authorized ContactATOSA SARRAFI
President
312-402-7414
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2010-03-09
Last Update Date2010-03-09
Business Address
OLD ORCHARD DENTAL GROUP P.C.
9631 GROSS POINT RD SUITE 4
SKOKIE, IL 60076-1264
Phone number: 312-402-7414
Mailing Address
OLD ORCHARD DENTAL GROUP P.C.
9631 GROSS POINT RD SUITE 4
SKOKIE, IL 60076-1264
Phone number:
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