Green Bay Trail Dentistry
Green Bay Trail Dentistry is a Dentist in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
2632 Green Bay RdEvanston, IL 60201
Phone: (847) 869-4844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019021406 (IL) |
|---|
Record details
| NPI number | 1457405987 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Estes — Owner Provider · (847) 869-4844 |
| Other names | Eric Estes |
| NPI enumerated | January 22, 2007 |
| Last updated in NPPES | May 24, 2011 |
| Mailing address | 2632 Green Bay Rd, Evanston, IL 60201 |
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