| Holy Family Dental Clinic, Pc | |
|
2680 Belvidere Rd Waukegan IL 60085-6006 | |
| (847) 360-3045 | |
| (847) 360-0597 |
| Full Name | Holy Family Dental Clinic, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2680 Belvidere Rd, Waukegan, Illinois |
| Authorized Official Name and Position | Sumrana S Ahmed (PRESIDENT) |
| Authorized Official Contact | 8473603045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Family Dental Clinic, Pc 2680 Belvidere Rd Waukegan IL 60085-6006 Ph: (847) 360-3045 | Holy Family Dental Clinic, Pc 2680 Belvidere Rd Waukegan IL 60085-6006 Ph: (847) 360-3045 |
| NPI Number | 1538205158 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538205158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026293 (Illinois) | Primary |
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