Organization
K CHAN DENTAL, P.C.
Active
Other names
North Shore Artistic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRIAN ROSS D.D.S. (PRESIDENT)
(847) 501-2882
Entity
Organization
Contact information
Practice address
310 HAPP RD, SUITE 208, NORTHFIELD, IL 60093-3455
(847) 501-2882
(847) 501-2883
Mailing address
310 HAPP RD, SUITE 208, NORTHFIELD, IL 60093-3455
(847) 501-2882
(847) 501-2883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019016908
IL
1223G0001X
General Practice Dentistry
Primary
019027662
IL
1223G0001X
General Practice Dentistry
019028001
IL
124Q00000X
Dental Hygienist
020007283
IL
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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