Dental On 45 Inc

NPI 1184033839 - Dentist - 122300000X

NPI Details
NPI 1184033839
Enumeration Date 08/07/2014
Last Updated 08/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARLEN MARLEN
Position OFFICE MANAGER
Phone (224) 541-4066
Fax (847) 752-8425
Practice Location
34484 N US HIGHWAY 45
SUITE C
THIRD LAKE IL, 60030-4038, US
Phone (224) 541-4066
Fax (847) 752-8425
Business Location
34484 N US HIGHWAY 45
SUITE C
THIRD LAKE IL, 60030-4038, US
Phone (224) 541-4066
Fax (847) 752-8425
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1184033839 NPI Number
 

According to our database, Dental On 45 Inc NPI is 1184033839, taxonomy code is 122300000X Dental On 45 Inc physically located at 34484 N Us Highway 45, Third Lake IL, 60030-4038. NPI Number 1033115704 has the healthcare provider type.

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1184033839 NPI number is provided on an as is basis without warranty of any kind. 1184033839 is maintained by the National Plan & Provider Enumeration System. The contents of Dental On 45 Inc are for informational purposes only.