| Dr Cesar Otero Dds Pc | |
|
60 Turner Ave Lower Level West Elk Grove Village IL 60007-3956 | |
| (847) 228-0120 | |
| Not Available |
| Full Name | Dr Cesar Otero Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 60 Turner Ave, Elk Grove Village, Illinois |
| Authorized Official Name and Position | Cesar Ricardo Otero (OWNER) |
| Authorized Official Contact | 8472280120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cesar Otero Dds Pc 1197 Windham Ln Elk Grove Village IL 60007-7245 Ph: (847) 891-1148 | Dr Cesar Otero Dds Pc 60 Turner Ave Lower Level West Elk Grove Village IL 60007-3956 Ph: (847) 228-0120 |
| NPI Number | 1528104312 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528104312 | NPI | - | NPPES |
| 105150 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019023335 (Illinois) | Primary |
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