| Algonquin Kids Dentistry, Inc | |
|
4097 W Algonquin Rd Algonquin IL 60102-9401 | |
| (224) 654-6543 | |
| Not Available |
| Full Name | Algonquin Kids Dentistry, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4097 W Algonquin Rd, Algonquin, Illinois |
| Authorized Official Name and Position | Victoria Ursitti (OWNER/DOCTOR) |
| Authorized Official Contact | 2246546543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Algonquin Kids Dentistry, Inc 4097 W Algonquin Rd Algonquin IL 60102-9401 Ph: (224) 654-6543 | Algonquin Kids Dentistry, Inc 4097 W Algonquin Rd Algonquin IL 60102-9401 Ph: (224) 654-6543 |
| NPI Number | 1669839593 |
|---|---|
| Provider Enumeration Date | 01/22/2016 |
| Last Update Date | 04/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669839593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 021.001777 (Illinois) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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