| Nsp Dental Llc | |
|
1900 Hollister Dr Ste 190 Libertyville IL 60048-5283 | |
| (847) 680-0975 | |
| Not Available |
| Full Name | Nsp Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1900 Hollister Dr Ste 190, Libertyville, Illinois |
| Authorized Official Name and Position | Nicholas S Polito (DENTIST) |
| Authorized Official Contact | 8473671133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nsp Dental Llc 998 Castlewood Ct Gurnee IL 60031-4106 Ph: () - | Nsp Dental Llc 1900 Hollister Dr Ste 190 Libertyville IL 60048-5283 Ph: (847) 680-0975 |
| NPI Number | 1740889344 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740889344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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