Candace M Opon Dds | |
690 N Route 31 College Hill Professional Bldg Crystal Lake IL 60012 | |
(815) 477-2177 | |
(815) 477-8671 |
Full Name | Candace M Opon Dds |
---|---|
Speciality | Dentist |
Location | 690 N Route 31, Crystal Lake, Illinois |
Authorized Official Name and Position | Candace M Opon (DENTIST) |
Authorized Official Contact | 8154772177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Candace M Opon Dds 690 N Route 31 College Hill Professional Bldg Crystal Lake IL 60012 Ph: (815) 477-2177 | Candace M Opon Dds 690 N Route 31 College Hill Professional Bldg Crystal Lake IL 60012 Ph: (815) 477-2177 |
NPI Number | 1972717247 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 06/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972717247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019023866 (Illinois) | Primary |
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