| Richard Razdolsky Dds Llc | |
|
3800 Willow Rd Northbrook IL 60062-6147 | |
| (224) 355-1118 | |
| Not Available |
| Full Name | Richard Razdolsky Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3800 Willow Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Richard Razdolsky (OWNER) |
| Authorized Official Contact | 8479806570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Razdolsky Dds Llc 227 Brampton Ln Lake Forest IL 60045-4706 Ph: () - | Richard Razdolsky Dds Llc 3800 Willow Rd Northbrook IL 60062-6147 Ph: (224) 355-1118 |
| NPI Number | 1487285482 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487285482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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