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Organization
RUSSELL J. CECALA, D.D.S., M.S., LTD DBA PERIOCARE
Active
Organization
RUSSELL J. CECALA, D.D.S., M.S., LTD DBA PERIOCARE
Active
Other names
PerioCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL J. CECALA D.D.S.,M.S. (PRESIDENT/OWNER)
(773) 631-0344
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 227, CHICAGO, IL 60631-3745
(773) 631-0344
(773) 631-0211
Mailing address
7447 W TALCOTT AVE, SUITE 227, CHICAGO, IL 60631-3745
(773) 631-0344
(773) 631-0211
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
03/27/2007
Last updated
12/22/2014
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