Randy Halihan Family Dentistry | |
149 N Virginia St Suite 100 Crystal Lake IL 60014-3400 | |
(815) 444-6444 | |
(815) 444-6446 |
Full Name | Randy Halihan Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 149 N Virginia St, Crystal Lake, Illinois |
Authorized Official Name and Position | Randy J Halihan (DENTIST/OWNER) |
Authorized Official Contact | 8154446444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Randy Halihan Family Dentistry 149 N Virginia St Suite 100 Crystal Lake IL 60014-3400 Ph: (815) 444-6444 | Randy Halihan Family Dentistry 149 N Virginia St Suite 100 Crystal Lake IL 60014-3400 Ph: (815) 444-6444 |
NPI Number | 1558768879 |
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Provider Enumeration Date | 12/02/2014 |
Last Update Date | 12/02/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558768879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019024027 (Illinois) | Primary |
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