| Cornerstone Dentistry | |
|
1530 Lake St Roselle IL 60172-3330 | |
| (630) 529-0900 | |
| Not Available |
| Full Name | Cornerstone Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1530 Lake St, Roselle, Illinois |
| Authorized Official Name and Position | Syed Rehman (PRESIDENT/OWNER) |
| Authorized Official Contact | 8479152827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Dentistry 1530 Lake St Ste D Roselle IL 60172-3330 Ph: (630) 529-0900 | Cornerstone Dentistry 1530 Lake St Roselle IL 60172-3330 Ph: (630) 529-0900 |
| NPI Number | 1033518154 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033518154 | NPI | - | NPPES |
| 019030260 | Other | IL | IL DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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