Organization
DENTAL PROFESSIONALS OF OLD ORCHARD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCHWARTZ DDS (OWNER)
(847) 519-2873
Entity
Organization
Contact information
Practice address
4905 OLD ORCHARD CTR STE 728, SKOKIE, IL 60077-4734
(847) 676-1432
Mailing address
4905 OLD ORCHARD CTR STE 728, SKOKIE, IL 60077-4734
(847) 676-1432
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
10/12/2021
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