Organization
YUMMY DENTAL AND ORTHODONTICS FOR KIDS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE Y, ZIMMERMANN DDS (PRESIDENT)
(847) 729-4700
Entity
Organization
Contact information
Practice address
1521 WAUKEGAN RD, GLENVIEW, IL 60025-2122
(847) 729-4700
Mailing address
1521 WAUKEGAN RD, GLENVIEW, IL 60025-2122
(847) 729-4700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/13/2015
Last updated
01/20/2015
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