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Organization
SCHOOLHOUSE SQUARE DENTAL CENTER, P.C.
Active
Organization
SCHOOLHOUSE SQUARE DENTAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G. COUSTON DDS (PRESIDENT)
(847) 519-1711
Entity
Organization
Contact information
Practice address
12 W SCHAUMBURG RD, SCHAUMBURG, IL 60194-3502
(847) 519-1711
Mailing address
12 W SCHAUMBURG RD, SCHAUMBURG, IL 60194-3502
(847) 519-1711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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