Organization
WISCONSIN MOBILE DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CONTOS DDS (OWNER)
(847) 804-9429
Entity
Organization
Contact information
Practice address
1120 MIDWAY RD, NORTHBROOK, IL 60062-3938
(847) 804-9429
Mailing address
1120 MIDWAY RD, NORTHBROOK, IL 60062-3938
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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