Ccb Dental Associates Pc | |
1118 N Larkin Avenue Joliet IL 60435 | |
(815) 729-0661 | |
(815) 729-1617 |
Full Name | Ccb Dental Associates Pc |
---|---|
Speciality | Dentist |
Location | 1118 N Larkin Avenue, Joliet, Illinois |
Authorized Official Name and Position | Ginger Ann Christian (PRESIDENT) |
Authorized Official Contact | 8157290661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ccb Dental Associates Pc 1118 N Larkin Avenue Joliet IL 60435 Ph: (815) 729-0661 | Ccb Dental Associates Pc 1118 N Larkin Avenue Joliet IL 60435 Ph: (815) 729-0661 |
NPI Number | 1376605428 |
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Provider Enumeration Date | 12/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376605428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
122300000X | Dentist | (Illinois) | Secondary |
122300000X | Dentist | (Illinois) | Secondary |
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