| Excellence In Dentistry, Ltd. | |
|
5101 Washington St # 2v Gurnee IL 60031-5916 | |
| (847) 244-4000 | |
| (847) 244-5911 |
| Full Name | Excellence In Dentistry, Ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5101 Washington St # 2v, Gurnee, Illinois |
| Authorized Official Name and Position | Howard I Cooper (PRESIDENT) |
| Authorized Official Contact | 8472444000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence In Dentistry, Ltd. 5101 Washington St # 2v Gurnee IL 60031-5916 Ph: (847) 244-4000 | Excellence In Dentistry, Ltd. 5101 Washington St # 2v Gurnee IL 60031-5916 Ph: (847) 244-4000 |
| NPI Number | 1427352657 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427352657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019022566 (Illinois) | Primary |
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