Irina Bolotnikov DDS PC
Irina Bolotnikov DDS PC is a General Practice Dentistry in Morton Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7963 Gold RdMorton Grove, IL 60053
Phone: (847) 583-0033
Fax: (847) 583-0013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019029871 (IL) |
|---|
Record details
| NPI number | 1740326313 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Irina Bolotnikov — Dentist President · (847) 583-0033 |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | June 18, 2008 |
| Mailing address | 7963 Gold Road, Morton Grove, IL 60053 |
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