Richard Maddalozzo Dds Ms Pc | |
649 N 1st Bank Dr Palatine IL 60067-8111 | |
(847) 934-4280 | |
(847) 934-4294 |
Full Name | Richard Maddalozzo Dds Ms Pc |
---|---|
Speciality | Dentist - Periodontics |
Location | 649 N 1st Bank Dr, Palatine, Illinois |
Authorized Official Name and Position | Richard Maddalozzo (PRESIDENT) |
Authorized Official Contact | 8479344280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard Maddalozzo Dds Ms Pc 649 N 1st Bank Dr Palatine IL 60067-8111 Ph: (847) 934-4280 | Richard Maddalozzo Dds Ms Pc 649 N 1st Bank Dr Palatine IL 60067-8111 Ph: (847) 934-4280 |
NPI Number | 1366512022 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366512022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
1223P0300X | Dentist - Periodontics | (Illinois) | Primary |
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