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General NPI Number Information
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NPI Number | 1285807339
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Entity Type | Organization
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Legal Business Name | DSY DENTAL CONSULTANTS, PC
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 8800 BRONX AVE SUITE 106
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City | SKOKIE
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State | IL
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Zip | 60077-1804
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Country | US
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Telephone | 847-676-6512
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Fax | 847-676-6502
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Provider Business Mailing Address
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Address Line | 8800 BRONX AVE SUITE 106
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City | SKOKIE
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State | IL
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Zip | 60077-1804
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Country | US
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Telephone | 847-676-6512
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Fax | 847-676-6502
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID S YUDKOWSKY
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Credential | DDS
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Telephone | 847-676-6512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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