Organization · Type 2 NPI
Dental Professionals of Old Orchard Ltd
Customized Equipment (DME) · Skokie, IL
NPI number
1710653225
Active
Practice location
4905 Old Orchard Ctr Ste 728
Skokie, IL 60077-4734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Another provider at this address
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About NPI 1710653225
Dental Professionals of Old Orchard Ltd's National Provider Identifier is 1710653225, issued on Aug 17, 2021. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Skokie, IL. The record was last updated on Oct 12, 2021.