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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