Organization · Type 2 NPI

Old Orchard Dental Group P.c.

Preferred Provider Organization · Skokie, IL

NPI number 1578886206 Active

About NPI 1578886206

Old Orchard Dental Group P.c.'s National Provider Identifier is 1578886206, issued on Mar 9, 2010. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Skokie, IL. The record was last updated on Mar 9, 2010.