Comprehensive Dentistry | |
606 Riverside Ave Suite C St Charles IL 60174-2969 | |
(630) 584-5920 | |
Not Available |
Full Name | Comprehensive Dentistry |
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Speciality | Clinic/center - Dental |
Location | 606 Riverside Ave, St Charles, Illinois |
Authorized Official Name and Position | Justin Baumler (DENTIST) |
Authorized Official Contact | 7163083569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Comprehensive Dentistry 606 Riverside Ave Suite C St Charles IL 60174-2969 Ph: (630) 584-5920 | Comprehensive Dentistry 606 Riverside Ave Suite C St Charles IL 60174-2969 Ph: (630) 584-5920 |
NPI Number | 1932552775 |
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Provider Enumeration Date | 07/17/2016 |
Last Update Date | 07/17/2016 |
Identifier | Type | State | Issuer |
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1932552775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 019.030764 (Illinois) | Primary |
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