| Guillermo Arizona D.d.s Pc | |
|
2504 Washington St Ste 100 Waukegan IL 60085-4998 | |
| (847) 662-6940 | |
| (847) 662-6589 |
| Full Name | Guillermo Arizona D.d.s Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2504 Washington St Ste 100, Waukegan, Illinois |
| Authorized Official Name and Position | Guillermo Arizona (DOCTOR/OWNER) |
| Authorized Official Contact | 8476626940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guillermo Arizona D.d.s Pc 2504 Washington St Ste 100 Waukegan IL 60085-4998 Ph: (847) 662-6940 | Guillermo Arizona D.d.s Pc 2504 Washington St Ste 100 Waukegan IL 60085-4998 Ph: (847) 662-6940 |
| NPI Number | 1972023075 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972023075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-023609 (Illinois) | Primary |
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