| Glenlake Dental Care Pc | |
|
946 Harlem Ave Glenview IL 60025-4275 | |
| (847) 724-3969 | |
| Not Available |
| Full Name | Glenlake Dental Care Pc |
|---|---|
| Speciality | Dentist |
| Location | 946 Harlem Ave, Glenview, Illinois |
| Authorized Official Name and Position | Mary Afzali (PRESIDENT) |
| Authorized Official Contact | 8477243969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenlake Dental Care Pc 946 Harlem Ave Glenview IL 60025-4275 Ph: () - | Glenlake Dental Care Pc 946 Harlem Ave Glenview IL 60025-4275 Ph: (847) 724-3969 |
| NPI Number | 1184990897 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184990897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
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