| Cpid | |
|
1501 W Dundee Rd #108 Buffalo Grove IL 60089-4006 | |
| (847) 818-9950 | |
| (847) 818-9968 |
| Full Name | Cpid |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1501 W Dundee Rd, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Kristen Frank (OFFICE MANAGER) |
| Authorized Official Contact | 8478189950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpid 1501 W Dundee Rd #108 Buffalo Grove IL 60089-4006 Ph: () - | Cpid 1501 W Dundee Rd #108 Buffalo Grove IL 60089-4006 Ph: (847) 818-9950 |
| NPI Number | 1861762650 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861762650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 060005106 (Illinois) | Primary |
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