Scba Casaclang Dds Ltd | |
495 N Riverside Dr Ste 204 Gyrnee IL 60031 | |
(847) 336-8611 | |
(847) 336-8199 |
Full Name | Scba Casaclang Dds Ltd |
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Speciality | Dentist |
Location | 495 N Riverside Dr Ste 204, Gyrnee, Illinois |
Authorized Official Name and Position | Cynthia Baldovino Casaclang (PRESIDENT) |
Authorized Official Contact | 8473368611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Scba Casaclang Dds Ltd 495 N Riverside Dr Ste 204 Gyrnee IL 60031 Ph: (847) 336-8611 | Scba Casaclang Dds Ltd 495 N Riverside Dr Ste 204 Gyrnee IL 60031 Ph: (847) 336-8611 |
NPI Number | 1205055001 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 01/18/2012 |
Identifier | Type | State | Issuer |
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1205055001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019022958 (Illinois) | Primary |