| Augusta Dental | |
|
1424 S Butterfield Rd Mundelein IL 60060-9424 | |
| (847) 247-0600 | |
| Not Available |
| Full Name | Augusta Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1424 S Butterfield Rd, Mundelein, Illinois |
| Authorized Official Name and Position | Suzanna M Petts (OFFICE MANAGER) |
| Authorized Official Contact | 8472470600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Dental 1424 S Butterfield Rd Mundelein IL 60060-9424 Ph: (847) 247-0600 | Augusta Dental 1424 S Butterfield Rd Mundelein IL 60060-9424 Ph: (847) 247-0600 |
| NPI Number | 1508946815 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508946815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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