| Wisconsin Mobile Dental Care Llc | |
|
1120 Midway Rd Northbrook IL 60062-3938 | |
| (847) 804-9429 | |
| Not Available |
| Full Name | Wisconsin Mobile Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1120 Midway Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Peter Contos (OWNER) |
| Authorized Official Contact | 8478049429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Mobile Dental Care Llc 1120 Midway Rd Northbrook IL 60062-3938 Ph: () - | Wisconsin Mobile Dental Care Llc 1120 Midway Rd Northbrook IL 60062-3938 Ph: (847) 804-9429 |
| NPI Number | 1760192736 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760192736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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