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Organization
WAUKEGAN FAMILY FAMILY
Active
Organization
WAUKEGAN FAMILY FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAPENDICK DDS (OWNER)
(847) 336-7800
Entity
Organization
Contact information
Practice address
338 S. GREENBAY RD., WAUKEGAN, IL 60085-4850
(847) 336-7800
Mailing address
338 S. GREENBAY RD., WAUKEGAN, IL 60085-4850
(847) 336-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-018637
IL
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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