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Organization
ACIERNO DENTAL SC
Active
Organization
ACIERNO DENTAL SC
Active
Parent organization
ACIERNO DENTAL SC
Other names
County Line Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACIERNO DENTAL SC
Authorized official
KRISTY WOLTER (INSURANCE MANAGER)
(630) 339-3172
Entity
Organization
Contact information
Practice address
N97W17095 DIVISION RD, GERMANTOWN, WI 53022-4606
(262) 251-1699
Mailing address
1699 E WOODFIELD RD STE 102, SCHAUMBURG, IL 60173-4955
(330) 339-3172
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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