| Minalt & Wojcicki Dental Group Llc | |
|
1 Tiffany Pt Suite 209 Bloomingdale IL 60108-2936 | |
| (630) 671-0700 | |
| Not Available |
| Full Name | Minalt & Wojcicki Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 1 Tiffany Pt, Bloomingdale, Illinois |
| Authorized Official Name and Position | John Minalt (MEMBER) |
| Authorized Official Contact | 6306710700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minalt & Wojcicki Dental Group Llc 1 Tiffany Pt Suite 209 Bloomingdale IL 60108-2936 Ph: (630) 671-0700 | Minalt & Wojcicki Dental Group Llc 1 Tiffany Pt Suite 209 Bloomingdale IL 60108-2936 Ph: (630) 671-0700 |
| NPI Number | 1144579905 |
|---|---|
| Provider Enumeration Date | 09/07/2012 |
| Last Update Date | 09/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144579905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019021250 (Illinois) | Primary |
| 122300000X | Dentist | 019029179 (Illinois) | Secondary |
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Minalt & Wojcicki Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Tiffany Pt Ste 209, Bloomingdale, IL 60108 Phone: 630-671-0700 Fax: 630-671-0546 | |
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