| NPI | 1942640743 |
|---|---|
| Doing Business As | NORTH SHORE ARTISTIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRIAN ROSS President 847-501-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027662) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019016908) |
| 1223G0001X Dentist, General Practice (Licence: IL 019028001) | |
| 124Q00000X Dental Hygienist (Licence: IL 020007283) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |