Organization
METRO KIDZ DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GOLDMAN (PRESIDENT)
(847) 987-0322
Entity
Organization
Contact information
Practice address
808 E SIBLEY BLVD, DOLTON, IL 60419-2130
(847) 987-0322
Mailing address
808 E SIBLEY BLVD, DOLTON, IL 60419-2130
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019027333
IL
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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