| Crystal Lake Family Dental | |
|
651 W Terra Cotta Ave Suite 201 Crystal Lake IL 60014-3404 | |
| (630) 339-3172 | |
| (847) 891-6775 |
| Full Name | Crystal Lake Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 651 W Terra Cotta Ave, Crystal Lake, Illinois |
| Authorized Official Name and Position | Alan J Acierno (OWNER) |
| Authorized Official Contact | 6303393172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Family Dental 129 S Roselle Rd Suite 102 Schaumburg IL 60193-5540 Ph: (630) 339-3172 | Crystal Lake Family Dental 651 W Terra Cotta Ave Suite 201 Crystal Lake IL 60014-3404 Ph: (630) 339-3172 |
| NPI Number | 1154761492 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154761492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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