| Woodland Family Dental Care | |
|
6631 Grand Ave Ste 1 Gurnee IL 60031-5284 | |
| (847) 281-5488 | |
| Not Available |
| Full Name | Woodland Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6631 Grand Ave Ste 1, Gurnee, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Family Dental Care 6631 Grand Ave Ste 1 Gurnee IL 60031-5284 Ph: (847) 281-5488 | Woodland Family Dental Care 6631 Grand Ave Ste 1 Gurnee IL 60031-5284 Ph: (847) 281-5488 |
| NPI Number | 1972925584 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972925584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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