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Organization
PARK AVENUE DENTAL PROFESSIONALS, PC
Active
Organization
PARK AVENUE DENTAL PROFESSIONALS, PC
Active
Other names
Meggan L Rutledge, DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGGAN RUTLEDGE DDS (OWNER)
(847) 918-1255
Entity
Organization
Contact information
Practice address
1001 W. PARK AVENUE, LIBERTYVILLE, IL 60048
(847) 918-1255
Mailing address
1001 W PARK AVE, LIBERTYVILLE, IL 60048-2550
(847) 918-1255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029777
IL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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