Kishwaukee Dental Associates, Ltd. | |
8 Health Services Dr Dekalb IL 60115-9647 | |
(815) 758-4431 | |
(815) 748-1169 |
Full Name | Kishwaukee Dental Associates, Ltd. |
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Speciality | Dentist - General Practice |
Location | 8 Health Services Dr, Dekalb, Illinois |
Authorized Official Name and Position | Daniel Senderak (OWNER) |
Authorized Official Contact | 8157584431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kishwaukee Dental Associates, Ltd. 8 Health Services Dr Dekalb IL 60115-9647 Ph: (815) 758-4431 | Kishwaukee Dental Associates, Ltd. 8 Health Services Dr Dekalb IL 60115-9647 Ph: (815) 758-4431 |
NPI Number | 1710102967 |
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Provider Enumeration Date | 04/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710102967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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