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Organization
SOUTH BARRINGTON DENTAL
Active
Organization
SOUTH BARRINGTON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSELLA SPADONI DDS (PRESIDENT)
(847) 304-4442
Entity
Organization
Contact information
Practice address
2 EXECUTIVE CT, SOUTH BARRINGTON, IL 60010-9507
(847) 304-4442
Mailing address
2 EXECUTIVE CT, SOUTH BARRINGTON, IL 60010-9507
(847) 304-4442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019233
IL
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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