| Northwest Dental Health And Aesthetics | |
|
Northwest Dental Health And Aesthetics 224 B. Brown St Wauconda IL 60084-1747 | |
| (847) 526-2831 | |
| (847) 526-2858 |
| Full Name | Northwest Dental Health And Aesthetics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Northwest Dental Health And Aesthetics, Wauconda, Illinois |
| Authorized Official Name and Position | Lynn C. Podlasek (DENTIST/VICE-PRESIDENT) |
| Authorized Official Contact | 8475262831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dental Health And Aesthetics Northwest Dental Health And Aesthetics 224 B. Brown St Wauconda IL 60084-1747 Ph: (847) 526-2831 | Northwest Dental Health And Aesthetics Northwest Dental Health And Aesthetics 224 B. Brown St Wauconda IL 60084-1747 Ph: (847) 526-2831 |
| NPI Number | 1437678505 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437678505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Manuel J Rodriguez Dds Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 W Liberty St, Wauconda, IL 60084 Phone: 847-526-3660 Fax: 847-526-6970 |