Clifford Michael Mollsen JR. DDS

NPI 1124224522 - Dentist - 122300000X

NPI Details
NPI 1124224522
Gender Male
Enumeration Date 06/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1455 EAST GOLF ROAD
SUITE 118
DES PLAINES IL, 60016, US
Phone (847) 824-5044
Fax (847) 824-9530
Business Location
1455 EAST GOLF ROAD
SUITE 118
DES PLAINES IL, 60016, US
Phone (847) 824-5044
Fax (847) 824-9530
Toxanomy
Taxonomy Code 122300000X
License State Illinois
License Number 19A12965
Remove 1124224522 NPI Number
 

According to our database, Clifford Michael Mollsen JR. DDS NPI is 1124224522, taxonomy code is 122300000X and license number is 19A12965, license state is located at Illinois. Clifford Michael Mollsen JR. DDS physically located at 1455 East Golf Road, Des Plaines IL, 60016. NPI Number Clifford Michael Mollsen JR. DDS has the Individual type.

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1124224522 NPI number is provided on an as is basis without warranty of any kind. 1124224522 is maintained by the National Plan & Provider Enumeration System. The contents of Clifford Michael Mollsen JR. DDS are for informational purposes only.