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Organization
TOTAL DENTISTRY
Active
Organization
TOTAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA M PELAK DDS (CEO)
(847) 358-2477
Entity
Organization
Contact information
Practice address
647 N 1ST BANK DR, PALATINE, IL 60067-8111
(847) 358-2477
(847) 358-1217
Mailing address
647 N 1ST BANK DR, PALATINE, IL 60067-8111
(847) 358-2477
(847) 358-1217
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
019020825
IL
1223G0001X
General Practice Dentistry
Primary
019020825
IL
1223P0300X
Periodontics
019020825
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019020825
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019020825
IL
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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