| Glen Flora Dental | |
|
1020 W Glen Flora Ave Suite 102 Waukegan IL 60085-1882 | |
| (847) 623-0399 | |
| (847) 623-4745 |
| Full Name | Glen Flora Dental |
|---|---|
| Speciality | Dentist |
| Location | 1020 W Glen Flora Ave, Waukegan, Illinois |
| Authorized Official Name and Position | Brandi M Skinner (OFFICE MANAGER) |
| Authorized Official Contact | 8476230399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Flora Dental 1020 Geln Flora Ave Suite 102 Waukegan IL 60085 Ph: (847) 623-0399 | Glen Flora Dental 1020 W Glen Flora Ave Suite 102 Waukegan IL 60085-1882 Ph: (847) 623-0399 |
| NPI Number | 1407161953 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407161953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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