Individual
DAVID GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
332 SKOKIE VALLEY RD, SUITE 222, HIGHLAND PARK, IL 60035-4415
(847) 831-1100
Mailing address
1010 W MONROE ST, APT 4, CHICAGO, IL 60607-3399
(218) 209-8027
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019029576
IL
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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