| Occlusal Enterprise | |
|
2110 W Algonquin Rd Lake In The Hills IL 60156-1370 | |
| (847) 854-0525 | |
| (847) 854-0525 |
| Full Name | Occlusal Enterprise |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2110 W Algonquin Rd, Lake In The Hills, Illinois |
| Authorized Official Name and Position | Giovanni Aristodemo (DOCTOR) |
| Authorized Official Contact | 8478540525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Occlusal Enterprise 2110 W Algonquin Rd Lake In The Hills IL 60156-1370 Ph: (847) 854-0525 | Occlusal Enterprise 2110 W Algonquin Rd Lake In The Hills IL 60156-1370 Ph: (847) 854-0525 |
| NPI Number | 1710489661 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 03/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710489661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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