Organization
ORTHODONTIC EXPERTS WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAROSLAV YARMOLYUK DDS , MS (ORTHODONTIST)
(847) 691-9401
Entity
Organization
Contact information
Practice address
4709 N HARLEM AVE, HARDWOOD HEIGHTS, IL 60706
(847) 691-9401
Mailing address
4709 N HARLEM AVE, HARWOOD HEIGHTS, IL 60706-4606
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002488
IL
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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