Organization
PREFERRED DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A MCBROOM DMD (DENTIST)
(847) 491-0660
Entity
Organization
Contact information
Practice address
1029 HOWARD ST, SUITE 201, EVANSTON, IL 60202-3877
(847) 491-0660
Mailing address
1029 HOWARD ST, SUITE 201, EVANSTON, IL 60202-3877
(847) 491-0660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019026519
IL
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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