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Organization
ZIEBA DENTISTRY GURNEE, LTD.
Active
Organization
ZIEBA DENTISTRY GURNEE, LTD.
Active
Other names
Excellence in Dentistry Gurnee
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ZIEBA DDS (PRESIDENT)
(773) 456-8835
Entity
Organization
Contact information
Practice address
5101 WASHINGTON ST # 2V, GURNEE, IL 60031-5916
(847) 244-4000
Mailing address
1259 N WOOD ST APT 406, CHICAGO, IL 60622-8800
(847) 727-4077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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