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Organization
RONALDO MACAM,DMD,PC
Active
Organization
RONALDO MACAM,DMD,PC
Active
Other names
ALLSMILES FAMILY DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALDO MONTEMAYOR MACAM DMD (PRESIDENT)
(847) 298-9676
Entity
Organization
Contact information
Practice address
8872 N MILWAUKEE AVE, NILES, IL 60714-1752
(847) 298-9676
Mailing address
8872 N MILWAUKEE AVE, NILES, IL 60714-1752
(847) 298-9676
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-023795
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144431453
TYPE 1 NPI
IL
Enumeration date
02/22/2013
Last updated
02/22/2013
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