Organization
CHILDREN'S & ADOLESCENT DENTISTRY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO D MORTON D.D.S. (VICE PRESIDENT)
(847) 299-1095
Entity
Organization
Contact information
Practice address
9101 N GREENWOOD AVE, SUITE 308, NILES, IL 60714-1499
(847) 299-1095
Mailing address
9101 N GREENWOOD AVE, SUITE 308, NILES, IL 60714-1499
(847) 299-1095
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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