| Thomas Skoumal Dds, Pc | |
|
302 Randall Rd Suite 105 Geneva IL 60134-4209 | |
| (630) 232-7385 | |
| (630) 232-7389 |
| Full Name | Thomas Skoumal Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 302 Randall Rd, Geneva, Illinois |
| Authorized Official Name and Position | Thomas Edwards Skoumal (DENTIST/OWNER) |
| Authorized Official Contact | 6302327385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Skoumal Dds, Pc 302 Randall Rd Suite 105 Geneva IL 60134-4209 Ph: (630) 232-7385 | Thomas Skoumal Dds, Pc 302 Randall Rd Suite 105 Geneva IL 60134-4209 Ph: (630) 232-7385 |
| NPI Number | 1578970042 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 07/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578970042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019029192 (Illinois) | Primary |
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