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Organization
SKOKIE FAMILY DENTISTRY PLLC
Active
Organization
SKOKIE FAMILY DENTISTRY PLLC
Active
Other names
Lifetime Dentistry of Skokie
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT STITES (INSURANCE COORDINATOR-DECISIONONE)
(630) 869-5857
Entity
Organization
Contact information
Practice address
4709 GOLF RD STE 112, SKOKIE, IL 60076-1238
(847) 675-7750
Mailing address
4709 GOLF RD STE 112, SKOKIE, IL 60076-1238
(847) 675-7750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/16/2023
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