Watertower Family Dental | |
2250 West Algonquin Road Ste 101 Lake In The Hills IL 60156 | |
(847) 854-2970 | |
(847) 854-3171 |
Full Name | Watertower Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 2250 West Algonquin Road, Lake In The Hills, Illinois |
Authorized Official Name and Position | Eman A Shirazi (OWNER) |
Authorized Official Contact | 8478542970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Watertower Family Dental 2250 West Algonquin Road Ste 101 Lake In The Hills IL 60156 Ph: (847) 854-2970 | Watertower Family Dental 2250 West Algonquin Road Ste 101 Lake In The Hills IL 60156 Ph: (847) 854-2970 |
NPI Number | 1396830394 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 11/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396830394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19025647 (Illinois) | Primary |
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