Organization
ALAN KUSHNER, D.D.S. & ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN S. KUSHNER D.D.S. (PRESIDENT)
(847) 438-3669
Entity
Organization
Contact information
Practice address
710 W BRINK ST, HARVARD, IL 60033-2720
(815) 943-5939
(815) 943-4172
Mailing address
21828 N VESPER CT, DEER PARK, IL 60010-9740
(847) 438-3669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019024098
IL
1223G0001X
General Practice Dentistry
019026805
IL
1223G0001X
General Practice Dentistry
Primary
19A14607
IL
Other
Enumeration date
03/30/2012
Last updated
05/10/2019
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