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Organization
590 DENTAL CARE LLC
Active
Organization
590 DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J ACIERNO DDS (MANAGER)
(630) 339-3172
Entity
Organization
Contact information
Practice address
590 WILLIAM R LATHAM SR DR, BOURBONNAIS, IL 60914-2320
(630) 339-3172
Mailing address
129 S ROSELLE RD, SUITE 102, SCHAUMBURG, IL 60193-5540
(630) 339-3172
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019018431
IL
Other
Enumeration date
03/22/2016
Last updated
03/28/2016
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