Organization
DAVID GOLDBERG, DDS, MS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOLDBERG (OWNER)
(218) 209-8027
Entity
Organization
Contact information
Practice address
332 SKOKIE VALLEY RD, SUITE 222, HIGHLAND PARK, IL 60035-4415
(847) 831-1100
Mailing address
332 SKOKIE VALLEY RD, SUITE 222, HIGHLAND PARK, IL 60035-4415
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019029576
IL
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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