Dental Health And Beauty | |
1109 W Park Ave Libertyville IL 60048-2552 | |
(847) 367-1133 | |
(847) 367-3388 |
Full Name | Dental Health And Beauty |
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Speciality | Dentist - General Practice |
Location | 1109 W Park Ave, Libertyville, Illinois |
Authorized Official Name and Position | Nicholas Polito (OWNER) |
Authorized Official Contact | 8473611133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Health And Beauty 1109 W Park Ave Libertyville IL 60048-2552 Ph: (847) 367-1133 | Dental Health And Beauty 1109 W Park Ave Libertyville IL 60048-2552 Ph: (847) 367-1133 |
NPI Number | 1265728224 |
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Provider Enumeration Date | 06/28/2011 |
Last Update Date | 06/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265728224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019.018686 (Illinois) | Primary |
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