| Tru Dental Illinois Ii Pllc | |
|
310 S Greenleaf St Ste 201 Gurnee IL 60031-5708 | |
| (847) 623-5530 | |
| (847) 623-5530 |
| Full Name | Tru Dental Illinois Ii Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 S Greenleaf St Ste 201, Gurnee, Illinois |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Dental Illinois Ii Pllc 310 S Greenleaf St Ste 201 Gurnee IL 60031-5708 Ph: (847) 623-5530 | Tru Dental Illinois Ii Pllc 310 S Greenleaf St Ste 201 Gurnee IL 60031-5708 Ph: (847) 623-5530 |
| NPI Number | 1649857483 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649857483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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