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Organization
SCBA CASACLANG DDS LTD
Active
Organization
SCBA CASACLANG DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA BALDOVINO CASACLANG DDS (PRESIDENT)
(847) 336-8611
Entity
Organization
Contact information
Practice address
495 N RIVERSIDE DR STE 204, GYRNEE, IL 60031
(847) 336-8611
(847) 336-8199
Mailing address
495 N RIVERSIDE DR STE 204, GYRNEE, IL 60031
(847) 336-8611
(847) 336-8199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022958
IL
Other
Enumeration date
04/24/2007
Last updated
01/18/2012
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