| Libertybille Dental Associates | |
|
1641 N Milwaukee Ave Ste 3 Libertyville IL 60048-1350 | |
| (847) 367-6360 | |
| (847) 367-8627 |
| Full Name | Libertybille Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1641 N Milwaukee Ave, Libertyville, Illinois |
| Authorized Official Name and Position | Carl S Katz (VICE PRES) |
| Authorized Official Contact | 8473676360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libertybille Dental Associates 1641 N Milwaukee Ave Ste 3 Libertyville IL 60048-1350 Ph: (847) 367-6360 | Libertybille Dental Associates 1641 N Milwaukee Ave Ste 3 Libertyville IL 60048-1350 Ph: (847) 367-6360 |
| NPI Number | 1811102932 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811102932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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