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Organization
DDS SPECIALTY CARE LLC
Active
Organization
DDS SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN H SHULKIN D.D.S (PRESIDENT)
(847) 301-0400
Entity
Organization
Contact information
Practice address
1061 S ROSELLE RD, SCHAUMBURG, IL 60193-3960
(847) 301-0400
(847) 301-7576
Mailing address
1061 S ROSELLE RD, SCHAUMBURG, IL 60193-3960
(847) 301-0400
(847) 301-7576
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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