McHenry Dental Associates
Clinic/Center, Dental in McHenry, IL. Organization (NPI-2).
NPI number1982197984
StatusActive
Last updated in NPPESJun 13, 2018
Details
- NPI
- 1982197984
- Entity type
- Organization (NPI-2)
- Legal business name
- McHenry Dental Associates
- Organization subpart
- No
- Enumeration date
- Jun 13, 2018
- Last updated
- Jun 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 019021569 | IL | Yes |
Practice location
1315 N Riverside DrMcHenry, IL 60050-4509
Phone 815-385-1360
Mailing address
1699 E Woodfield Rd Ste 102Schaumburg, IL 60173-4955
Phone 630-339-3172
Authorized official
Kristy Wolter
Insurance Manager
6308695857
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All 5 Dental Clinic/Center providers in McHenry · All 2,101 providers in McHenry
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