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Organization
PARK AVENUE DENTAL PROFESSIONALS LLC
Active
Organization
PARK AVENUE DENTAL PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN CHRISTIE JAROCH DDS (PARTNER)
(847) 918-1255
Entity
Organization
Contact information
Practice address
1001 W PARK AVENUE, LIBERTYVILLE, IL 60048
(847) 918-1255
(847) 918-1280
Mailing address
1001 W PARK AVENUE, LIBERTYVILLE, IL 60048
(847) 918-1255
(847) 918-1280
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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