| Georgetown Dental Llc | |
|
7212 Edgebrook Ln Hanover Park IL 60133-3751 | |
| (630) 837-3700 | |
| (630) 837-3849 |
| Full Name | Georgetown Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7212 Edgebrook Ln, Hanover Park, Illinois |
| Authorized Official Name and Position | Kathleen M Hansen (SOLE MEMBER) |
| Authorized Official Contact | 6308373700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Dental Llc 7212 Edgebrook Lane Hanover Park IL 60133-3751 Ph: (630) 837-3700 | Georgetown Dental Llc 7212 Edgebrook Ln Hanover Park IL 60133-3751 Ph: (630) 837-3700 |
| NPI Number | 1023345568 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 11/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023345568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019019366 (Illinois) | Primary |
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