| Mary Ann Baldino-gomez D.d.s., S.c. | |
|
2450 Grass Lake Rd Suite C Lindenhurst IL 60046-5613 | |
| (847) 265-9022 | |
| (847) 265-9023 |
| Full Name | Mary Ann Baldino-gomez D.d.s., S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2450 Grass Lake Rd, Lindenhurst, Illinois |
| Authorized Official Name and Position | Mary Ann Baldino-gomez (DENTIST) |
| Authorized Official Contact | 8472659022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Baldino-gomez D.d.s., S.c. 18759 W. Westwood Pl Lake Villa IL 60046-7432 Ph: (847) 265-2782 | Mary Ann Baldino-gomez D.d.s., S.c. 2450 Grass Lake Rd Suite C Lindenhurst IL 60046-5613 Ph: (847) 265-9022 |
| NPI Number | 1861554834 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 04/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861554834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019020836 (Illinois) | Primary |
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