| Seretis Dental Llc | |
|
1501 N State Route 50 Bourbonnais IL 60914-4429 | |
| (815) 933-7779 | |
| Not Available |
| Full Name | Seretis Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1501 N State Route 50, Bourbonnais, Illinois |
| Authorized Official Name and Position | Thomas Seretis (OWNER) |
| Authorized Official Contact | 8159337779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seretis Dental Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Seretis Dental Llc 1501 N State Route 50 Bourbonnais IL 60914-4429 Ph: (815) 933-7779 |
| NPI Number | 1063927176 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063927176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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