| Institute Of Dental Implants And Periodontics | |
|
310 Tri State Pkwy Ste 100 Gurnee IL 60031-5282 | |
| (847) 662-3414 | |
| Not Available |
| Full Name | Institute Of Dental Implants And Periodontics |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 310 Tri State Pkwy Ste 100, Gurnee, Illinois |
| Authorized Official Name and Position | Timothy Vincent Erdle (OWNER) |
| Authorized Official Contact | 8476623414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute Of Dental Implants And Periodontics 310 Tri State Pkwy Ste 100 Gurnee IL 60031-5282 Ph: (847) 662-3414 | Institute Of Dental Implants And Periodontics 310 Tri State Pkwy Ste 100 Gurnee IL 60031-5282 Ph: (847) 662-3414 |
| NPI Number | 1700587342 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700587342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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