Organization
SAMUEL SKURIE, D.D.S., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL SKURIE (OWNER)
(847) 432-0254
Entity
Organization
Contact information
Practice address
1770 1ST ST STE 450, HIGHLAND PARK, IL 60035-5602
(847) 432-0254
Mailing address
170 LAKESIDE PL, HIGHLAND PARK, IL 60035-5317
(847) 433-6006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/23/2018
Last updated
06/07/2021
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