Organization
COMPASS DENTAL OF NORTHBROOK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON PRUSA DDS (PRESIDENT)
(773) 525-2011
Entity
Organization
Contact information
Practice address
1500 SHERMER RD, SUITE 222E, NORTHBROOK, IL 60062-5340
(847) 564-8780
Mailing address
1500 SHERMER RD, SUITE 222E, NORTHBROOK, IL 60062-5340
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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