Organization
DENTAL ART OF SKOKIE, PLLC
Active
Organization
DENTAL ART OF SKOKIE, PLLC
Active
Other names
Dental Art of Skokie
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA RIHANI (OFFICE MANAGER)
(224) 935-3903
Entity
Organization
Contact information
Practice address
4235 MAIN ST, SKOKIE, IL 60076-2063
(224) 935-3903
(224) 935-3904
Mailing address
4235 MAIN ST, SKOKIE, IL 60076-2063
(224) 935-3903
(224) 935-3904
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477998433
INDIVIDUAL NPI
IL
01
—
1871856617
INDIVIDUAL NPI
IL
Enumeration date
02/16/2024
Last updated
02/16/2024
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