Organization
METRO KIDZ DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GOLDMAN (PRESIDENT)
(847) 987-0322
Entity
Organization
Contact information
Practice address
2507 W CERMAK RD, CHICAGO, IL 60608-3719
(312) 238-9299
Mailing address
2507 W CERMAK RD, CHICAGO, IL 60608-3719
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019027333
IL
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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