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Organization
VL DENTAL CARE TWO
Active
Organization
VL DENTAL CARE TWO
Active
Other names
Route 14 Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BECKER (OFFICE MANAGER)
(847) 358-9700
Entity
Organization
Contact information
Practice address
6315 NORTHWEST HWY, SUITE A, CRYSTAL LAKE, IL 60014-7939
(815) 455-3368
(815) 455-3306
Mailing address
6315 NORTHWEST HWY, SUITE A, CRYSTAL LAKE, IL 60014-7939
(815) 455-3368
(815) 455-3306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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