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Dentistry For All Ages INC.

Dentist, General Practice in Elk Grove Village, IL. Organization (NPI-2).

NPI number1023293263
StatusActive
Last updated in NPPESJan 7, 2008

Details

NPI
1023293263
Entity type
Organization (NPI-2)
Legal business name
Dentistry For All Ages INC.
Organization subpart
No
Enumeration date
Jan 7, 2008
Last updated
Jan 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

800 Biesterfield Rd
Suite 660
Elk Grove Village, IL 60007-3361

Phone 847-439-2445 · Fax 847-439-2444

Mailing address

800 Biesterfield Rd
Suite 660
Elk Grove Village, IL 60007-3361

Phone 847-439-2445 · Fax 847-439-2444

Authorized official

Thomas Robert Leischner
President
8474392445

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