Organization
JOAN P GOLDSTEIN D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN PHYLLIS GOLDSTEIN DDS (OWNER)
(312) 945-9563
Entity
Organization
Contact information
Practice address
1032 DEERFIELD RD, HIGHLAND PARK, IL 60035-3578
(312) 945-9563
Mailing address
30 N MICHIGAN AVE STE 1103, CHICAGO, IL 60602-3745
(312) 945-9563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020341
IL
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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