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2454 E Dempster St Suite 416 Des Plaines IL 60016-5315 | |
| (847) 827-9100 | |
| (847) 827-1400 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2454 E Dempster St, Des Plaines, Illinois |
| Authorized Official Name and Position | Boris Becker (OWNER) |
| Authorized Official Contact | 8478279100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2454 E Dempster St Suite 416 Des Plaines IL 60016-5315 Ph: (847) 827-9100 | 2454 E Dempster St Suite 416 Des Plaines IL 60016-5315 Ph: (847) 827-9100 |
| NPI Number | 1437553591 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437553591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025213 (Illinois) | Primary |
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