Associated Dental Specialists Of Long Grove Ltd

NPI 1033383567 - Dentist - 1223P0221X

NPI Details
NPI 1033383567
Enumeration Date 04/16/2008
Last Updated 04/16/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MARK L MARK
Position PRESIDENT
Phone (847) 634-6166
Fax (846) 634-6302
Practice Location
RFD 4160
GROVE MEDICAL CENTER SUITE 308
LONG GROVE IL, 60047-9586, US
Phone (847) 634-6166
Fax (846) 634-6302
Business Location
RFD 4160
GROVE MEDICAL CENTER SUITE 308
LONG GROVE IL, 60047-9586, US
Phone (847) 634-6166
Fax (846) 634-6302
Toxanomy
Taxonomy Code 1223P0221X
License State Illinois
License Number 060.003411019.021533
Remove 1033383567 NPI Number
 

According to our database, Associated Dental Specialists Of Long Grove Ltd NPI is 1033383567, taxonomy code is 1223P0221X and license number is 060.003411019.021533, license state is located at Illinois. Associated Dental Specialists Of Long Grove Ltd physically located at Rfd 4160, Long Grove IL, 60047-9586. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1033383567 NPI number is provided on an as is basis without warranty of any kind. 1033383567 is maintained by the National Plan & Provider Enumeration System. The contents of Associated Dental Specialists Of Long Grove Ltd are for informational purposes only.