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Organization
WISE DENTAL ASSOCIATES PC
Active
Organization
WISE DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P GLINOS DDS (PRESIDENT)
(847) 352-8822
Entity
Organization
Contact information
Practice address
536 W WISE RD, SCHAUMBURG, IL 60193-3815
(847) 352-8822
(847) 352-9119
Mailing address
536 W WISE RD, SCHAUMBURG, IL 60193-3815
(847) 352-8822
(847) 352-9119
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019021649
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019021649
—
IL
Enumeration date
01/29/2015
Last updated
01/29/2015
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