Windsor I Dental Care | |
501 N Riverside Dr Ste 119 Windsor I Dental Care Gurnee IL 60031 | |
(847) 244-7340 | |
(847) 244-7390 |
Full Name | Windsor I Dental Care |
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Speciality | Dentist |
Location | 501 N Riverside Dr, Gurnee, Illinois |
Authorized Official Name and Position | Felicia S Mata (PRESIDENT) |
Authorized Official Contact | 8472447340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Windsor I Dental Care 501 N Riverside Dr Ste 119 Windsor I Dental Care Gurnee IL 60031 Ph: (847) 244-7340 | Windsor I Dental Care 501 N Riverside Dr Ste 119 Windsor I Dental Care Gurnee IL 60031 Ph: (847) 244-7340 |
NPI Number | 1417034851 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 07/12/2012 |
Identifier | Type | State | Issuer |
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1417034851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019024302 (Illinois) | Primary |
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