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Organization

THE DENTAL STORE, LTD.

Active
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Organization

THE DENTAL STORE, LTD.

Active
Parent organization
THE DENTAL STORE, LTD.
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE DENTAL STORE, LTD.
Authorized official
JASON BRENNER DDS (PRESIDENT)
(347) 415-4944
Entity
Organization

Contact information

Practice address
1455 E GOLF RD STE 118, DES PLAINES, IL 60016-1253
(847) 824-5044
Mailing address
1061 S ROSELLE RD, SCHAUMBURG, IL 60193-3900
(847) 301-0400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Enumeration date
10/02/2025
Last updated
10/02/2025
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