Malcolm Pediatric Dentistry | |
163 Cadillac Ct Suite 3 Belvidere IL 61008-1737 | |
(815) 544-0909 | |
(815) 544-0922 |
Full Name | Malcolm Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 163 Cadillac Ct, Belvidere, Illinois |
Authorized Official Name and Position | Andy Joe Malcolm (PEDIATRIC DENTIST) |
Authorized Official Contact | 8155440909 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Malcolm Pediatric Dentistry 163 Cadillac Ct Suite 3 Belvidere IL 61008-1737 Ph: (815) 544-0909 | Malcolm Pediatric Dentistry 163 Cadillac Ct Suite 3 Belvidere IL 61008-1737 Ph: (815) 544-0909 |
NPI Number | 1538359427 |
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Provider Enumeration Date | 07/27/2007 |
Last Update Date | 07/27/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538359427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Family Dental Care Of Belvidere Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 Biester Dr, Suite 102, Belvidere, IL 61008 Phone: 815-544-3426 Fax: 815-544-3428 |