| Elite Family Dental Center, Llc | |
|
719 Barron Blvd Grayslake IL 60030-3314 | |
| (734) 709-1363 | |
| Not Available |
| Full Name | Elite Family Dental Center, Llc |
|---|---|
| Speciality | Dentist |
| Location | 719 Barron Blvd, Grayslake, Illinois |
| Authorized Official Name and Position | Louis Whitesman (PRESIDENT) |
| Authorized Official Contact | 7347091363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Family Dental Center, Llc 719 Barron Blvd Grayslake IL 60030-3314 Ph: (734) 709-1363 | Elite Family Dental Center, Llc 719 Barron Blvd Grayslake IL 60030-3314 Ph: (734) 709-1363 |
| NPI Number | 1497185276 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497185276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026746 (Illinois) | Primary |
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