Organization Name: | CHILDREN'S ORAL CARE ONLY, P.C. |
NPI Number: | 1447504667 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLINE SCHOLTZ (PEDIATRIC DENTIST) |
Mailing Address: | 185 Milwaukee Ave Suite140 Lincolnshire |
State: | IL US |
Postal Code: | 600693010 |
Phone Number: | 8474788100 |
Fax Number: | 8474788812 |
NPI Enumeration Date: | 11/09/2012 |
NPI Last Update Date: | 11/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 019019265 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |