Roselle Dental Center Pc | |
603 E Irving Park Rd Roselle IL 60172-2302 | |
(630) 893-4200 | |
(630) 893-4508 |
Full Name | Roselle Dental Center Pc |
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Speciality | Dentist |
Location | 603 E Irving Park Rd, Roselle, Illinois |
Authorized Official Name and Position | Harvey G Seybold (PRACTICE OWNER) |
Authorized Official Contact | 6308934200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Roselle Dental Center Pc 603 E Irving Park Rd Roselle IL 60172-2302 Ph: (630) 893-4200 | Roselle Dental Center Pc 603 E Irving Park Rd Roselle IL 60172-2302 Ph: (630) 893-4200 |
NPI Number | 1518964402 |
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Provider Enumeration Date | 07/07/2005 |
Last Update Date | 09/24/2008 |
Identifier | Type | State | Issuer |
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1518964402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019017668 (Illinois) | Primary |
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