Anna De La Fuente Dmd Pc | |
282 Mchenry Rd Wheeling IL 60090-3202 | |
(847) 235-6859 | |
(847) 235-6958 |
Full Name | Anna De La Fuente Dmd Pc |
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Speciality | Dentist - General Practice |
Location | 282 Mchenry Rd, Wheeling, Illinois |
Authorized Official Name and Position | Anna De La Fuente (PRESIDENT) |
Authorized Official Contact | 6305640096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anna De La Fuente Dmd Pc 4111 W Annbriar Dr Peoria IL 61615-9487 Ph: () - | Anna De La Fuente Dmd Pc 282 Mchenry Rd Wheeling IL 60090-3202 Ph: (847) 235-6859 |
NPI Number | 1487000535 |
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Provider Enumeration Date | 05/09/2016 |
Last Update Date | 05/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487000535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019.030345 (Illinois) | Primary |
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