| Grayslake Dental Crare | |
|
997 N Corporate Cir Ste A Grayslake IL 60030-7822 | |
| (847) 223-2023 | |
| (847) 223-2012 |
| Full Name | Grayslake Dental Crare |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 997 N Corporate Cir Ste A, Grayslake, Illinois |
| Authorized Official Name and Position | Fatemeh Afshar (PRESIDENT/OWNER) |
| Authorized Official Contact | 8472232023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grayslake Dental Crare 997 N Corporate Cir Ste A Grayslake IL 60030-7822 Ph: (847) 223-2023 | Grayslake Dental Crare 997 N Corporate Cir Ste A Grayslake IL 60030-7822 Ph: (847) 223-2023 |
| NPI Number | 1073155750 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 10/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073155750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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