Organization
GREEN BAY TRAIL DENTISTRY
Active
Other names
Eric Estes
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ESTES DDS (OWNER PROVIDER)
(847) 869-4844
Entity
Organization
Contact information
Practice address
2632 GREEN BAY RD, EVANSTON, IL 60201
(847) 869-4844
Mailing address
2632 GREEN BAY RD, EVANSTON, IL 60201
(847) 869-4844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021406
IL
Other
Enumeration date
01/22/2007
Last updated
05/24/2011
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