| Gurnee Dental Arts | |
|
731 S Il Route 21 Suite #160 Gurnee IL 60031-3813 | |
| (224) 433-6009 | |
| (224) 433-6397 |
| Full Name | Gurnee Dental Arts |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 731 S Il Route 21, Gurnee, Illinois |
| Authorized Official Name and Position | Desiree Loreno (OWNER) |
| Authorized Official Contact | 7735505919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gurnee Dental Arts 731 S Il Route 21 Suite #160 Gurnee IL 60031-3813 Ph: (224) 433-6009 | Gurnee Dental Arts 731 S Il Route 21 Suite #160 Gurnee IL 60031-3813 Ph: (224) 433-6009 |
| NPI Number | 1588919989 |
|---|---|
| Provider Enumeration Date | 07/22/2012 |
| Last Update Date | 07/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588919989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-026161 (Illinois) | Primary |
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