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Organization

NORTHSHORE METROPOLITAN DENTAL ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR LAU D.D.S. (PRESIDENT)
(847) 673-6770
Entity
Organization

Contact information

Practice address
4709 GOLF RD, SUITE 804, SKOKIE, IL 60076-1231
(847) 673-6770
(847) 673-6778
Mailing address
4709 GOLF RD, SUITE 804, SKOKIE, IL 60076-1231
(847) 673-6770
(847) 673-6778

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019010896
IL
1223G0001X
General Practice Dentistry
019025154
IL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/14/2005
Last updated
10/02/2019
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