Organization
CHRISTIAN NOLTEN D M D LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN NOLTEN D.M.D. LTD (DENTIST)
(414) 736-9426
Entity
Organization
Contact information
Practice address
1029 HOWARD ST, SUITE 201, EVANSTON, IL 60202-3877
(847) 491-0660
Mailing address
1250 N LA SALLE DR, APT 913, CHICAGO, IL 60610-1949
(414) 736-9426
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027750
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019027750
—
IL
Enumeration date
10/15/2009
Last updated
10/15/2009
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