Modern Art Of Dentistry, Inc | |
75 S Milwaukee Ave Wheeling IL 60090-3187 | |
(847) 465-0800 | |
(847) 465-0053 |
Full Name | Modern Art Of Dentistry, Inc |
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Speciality | Clinic/center - Dental |
Location | 75 S Milwaukee Ave, Wheeling, Illinois |
Authorized Official Name and Position | Karina Lyon Gavrilov (OWNER) |
Authorized Official Contact | 8474650800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Modern Art Of Dentistry, Inc 75 S Milwaukee Ave Wheeling IL 60090-3187 Ph: (847) 465-0800 | Modern Art Of Dentistry, Inc 75 S Milwaukee Ave Wheeling IL 60090-3187 Ph: (847) 465-0800 |
NPI Number | 1003142100 |
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Provider Enumeration Date | 10/23/2009 |
Last Update Date | 10/23/2009 |
Identifier | Type | State | Issuer |
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1003142100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 0019-024691 (Illinois) | Primary |
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