Organization
COSMETIC AND IMPLANT DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRUCE SILVERS D.M.D. (DENTIST)
(847) 675-7010
Entity
Organization
Contact information
Practice address
6921 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2605
(847) 675-7010
(847) 675-7716
Mailing address
6921 N LINCOLN AVE, LINCOLNWOOD, IL 60712-2605
(847) 675-7010
(847) 675-7716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017109
IL
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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