| Star Dental Center | |
|
143 N Milwaukee Ave Wheeling IL 60090-3013 | |
| (847) 353-8050 | |
| Not Available |
| Full Name | Star Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 143 N Milwaukee Ave, Wheeling, Illinois |
| Authorized Official Name and Position | Neli Tujarova (MANAGER) |
| Authorized Official Contact | 8473538050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Dental Center 143 N Milwaukee Ave Wheeling IL 60090-3013 Ph: (847) 353-8050 | Star Dental Center 143 N Milwaukee Ave Wheeling IL 60090-3013 Ph: (847) 353-8050 |
| NPI Number | 1174786057 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174786057 | NPI | - | NPPES |
| 1004089 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023309 (Illinois) | Primary |
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