Organization
MODERN DENTAL INNOVATIONS, P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY T. ATHANS D.D.S. (OWNER)
(847) 498-3333
Entity
Organization
Contact information
Practice address
1707 SHERMER ROAD, SUITE 125, NORTHBROOK, IL 60062
(847) 498-3333
(847) 498-3339
Mailing address
1707 SHERMER ROAD, SUITE 125, NORTHBROOK, IL 60062-5375
(847) 498-3333
(847) 498-3339
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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