Old Town Dental Associates Ltd | |
1397 Main St Crete IL 60417-2951 | |
(708) 672-5353 | |
Not Available |
Full Name | Old Town Dental Associates Ltd |
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Speciality | Dentist - General Practice |
Location | 1397 Main St, Crete, Illinois |
Authorized Official Name and Position | Angela R. Bammann (PRES) |
Authorized Official Contact | 7086725353 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Old Town Dental Associates Ltd 1397 Main St P.o.box 37 Crete IL 60417-2951 Ph: (708) 672-5353 | Old Town Dental Associates Ltd 1397 Main St Crete IL 60417-2951 Ph: (708) 672-5353 |
NPI Number | 1801859137 |
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Provider Enumeration Date | 04/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1801859137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (Illinois) | Primary |