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Organization
ELGIN DENTAL CARE, LLC
Active
Organization
ELGIN DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY WOLTER (REVENUE CYCLE DIRECTOR)
(630) 339-3172
Entity
Organization
Contact information
Practice address
431 SUMMIT ST STE 105, ELGIN, IL 60120-3861
(847) 742-6717
Mailing address
1699 E WOODFIELD RD STE 102, SCHAUMBURG, IL 60173-4955
(630) 339-3172
(630) 891-6775
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
03/04/2020
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