North Shore Dental Associates
North Shore Dental Associates is a General Practice Dentistry in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
636 Church St #322Evanston, IL 60201-4508
Phone: (847) 475-4544
Fax: (847) 475-4523
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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 019021639 (IL) |
|---|
Record details
| NPI number | 1407108251 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stamata Blanas — Owner · (847) 475-4544 |
| NPI enumerated | October 3, 2012 |
| Last updated in NPPES | October 3, 2012 |
| Mailing address | 636 Church St, 322, Evanston, IL 60201-4508 |
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