Organization
MAGDALINA NIKOLOV DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDALINA BORISSOVA NIKOLOV II DDS (DENTIST / PRESIDENT)
(847) 657-8818
Entity
Organization
Contact information
Practice address
2604 PATRIOT BLVD, UNIT B, GLENVIEW, IL 60026-8024
(847) 657-8818
(847) 657-8858
Mailing address
2604 PATRIOT BLVD, SUITE B, GLENVIEW, IL 60026-8024
(847) 657-8818
(847) 657-8858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-026203
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9199867
—
IL
Enumeration date
08/08/2008
Last updated
08/08/2008
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