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Organization
NORTH SHORE DENTAL ASSOCIATES
Active
Organization
NORTH SHORE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAMATA BLANAS DDS (OWNER)
(847) 475-4544
Entity
Organization
Contact information
Practice address
636 CHURCH ST, #322, EVANSTON, IL 60201-4508
(847) 475-4544
(847) 475-4523
Mailing address
636 CHURCH ST, #322, EVANSTON, IL 60201-4508
(847) 475-4544
(847) 475-4523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021639
IL
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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