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Organization
NEW AGE DENTAL HOLDINGS, LTD
Active
Organization
NEW AGE DENTAL HOLDINGS, LTD
Active
Other names
New Age Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN SHULKIN DDS (PRESIDENT)
(847) 301-0400
Entity
Organization
Contact information
Practice address
8930 WAUKEGAN RD, SUITE 110, MORTON GROVE, IL 60053-2126
(847) 967-0400
Mailing address
1061 S ROSELLE RD, SCHAUMBURG, IL 60193-3960
(847) 301-0400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021632
IL
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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