| Super Dental Family Center | |
|
2200 Waukegan Rd Glenview IL 60025 | |
| (847) 729-8580 | |
| (847) 729-8630 |
| Full Name | Super Dental Family Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2200 Waukegan Rd, Glenview, Illinois |
| Authorized Official Name and Position | Mary M Hanley (OWNER DENTIST) |
| Authorized Official Contact | 8477298580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Dental Family Center 2200 Waukegan Rd Glenview IL 60025 Ph: (847) 729-8580 | Super Dental Family Center 2200 Waukegan Rd Glenview IL 60025 Ph: (847) 729-8580 |
| NPI Number | 1427225242 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427225242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 01919953 (Illinois) | Primary |
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