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Organization
NORTH SHORE DENTISTRY FOR CHILDREN
Active
Organization
NORTH SHORE DENTISTRY FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CARLSON HALL (OFFICE MANAGER)
(847) 869-5417
Entity
Organization
Contact information
Practice address
1560 SHERMAN AVE, SUITE 610, EVANSTON, IL 60201-4818
(847) 869-5417
Mailing address
1560 SHERMAN AVE, SUITE 610, EVANSTON, IL 60201-4818
(847) 869-5417
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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