| Rt. 14 Dentistry & Dental Specialists | |
|
6315 Northwest Hwy Suite A Crystal Lake IL 60014-7939 | |
| (815) 455-3368 | |
| (815) 455-3306 |
| Full Name | Rt. 14 Dentistry & Dental Specialists |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6315 Northwest Hwy, Crystal Lake, Illinois |
| Authorized Official Name and Position | C. J. Ludford (DENTIST) |
| Authorized Official Contact | 8154553368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rt. 14 Dentistry & Dental Specialists 6315 Northwest Hwy Suite A Crystal Lake IL 60014-7939 Ph: (815) 455-3368 | Rt. 14 Dentistry & Dental Specialists 6315 Northwest Hwy Suite A Crystal Lake IL 60014-7939 Ph: (815) 455-3368 |
| NPI Number | 1831485929 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831485929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-016700 (Illinois) | Primary |
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