Organization
BENJAMIN LOGIUDICE, DDS, LTD
Active
Other names
North Shore Oral Surgery and Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN LOGIUDICE (OWNER, PRESIDENT)
(847) 945-6700
Entity
Organization
Contact information
Practice address
720 OSTERMAN AVE, SUITE 102, DEERFIELD, IL 60015-4471
(847) 945-6700
(847) 945-6707
Mailing address
720 OSTERMAN AVE, SUITE 102, DEERFIELD, IL 60015-4471
(847) 945-6700
(847) 945-6707
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019025769
IL
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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