Organization
DENTAL STORE NORTH SHORE, LTD
Active
Other names
Old Orchard Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL COHN (CORPORATE SECRETARY)
(773) 620-4824
Entity
Organization
Contact information
Practice address
9235 SKOKIE BLVD, SKOKIE, IL 60077-1342
(847) 329-9858
Mailing address
9235 SKOKIE BLVD, SKOKIE, IL 60077-1342
(847) 329-9858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
03/31/2026
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