# PEDIATRIC DENTISRTY SPECIALISTS P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790035251
- **Authorized official:** DR. ANGELA KALB D.D.S. (DENTIST)
- **Authorized official phone:** (847) 256-2501

## Contact information

- **Practice address:** 1103 CENTRAL AVE, WILMETTE, IL 60091-2611
- **Practice address phone:** (847) 256-2501
- **Practice address fax:** (847) 256-2508
- **Mailing address:** 1103 CENTRAL AVE, WILMETTE, IL 60091-2611
- **Mailing address phone:** (847) 256-2501
- **Mailing address fax:** (847) 256-2508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019023432 | IL | Yes |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 09/12/2012