Organization
PRIME DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA CHOU D.M.D. (PRESIDENT)
(312) 608-6881
Entity
Organization
Contact information
Practice address
2638 PATRIOT BLVD, GLENVIEW, IL 60026-8024
(847) 748-0061
(847) 748-0062
Mailing address
2638 PATRIOT BLVD, GLENVIEW, IL 60026-8024
(847) 748-0061
(857) 758-0062
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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