Organization
GLENVIEW DENTAL ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOTIRIA ROUKAS DDS (VICE)
(847) 657-0750
Entity
Organization
Contact information
Practice address
1637 WAUKEGAN RD, GLENVIEW, IL 60025-2152
(847) 657-0750
(847) 657-0751
Mailing address
1637 WAUKEGAN RD, GLENVIEW, IL 60025-2152
(847) 657-0750
(847) 657-0751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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