Organization
METRO KIDZ DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GOLDMAN DDS (PRESIDENT)
(708) 499-0500
Entity
Organization
Contact information
Practice address
4710 W 95TH ST, UNIT B10, OAK LAWN, IL 60453-2546
(708) 499-0500
Mailing address
4710 W 95TH ST, UNIT B10, OAK LAWN, IL 60453-2546
(708) 499-0500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021002316
IL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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