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Organization
PANACEA DENTAL P.C.
Active
Organization
PANACEA DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAYALI BHATWADEKAR (PRESIDENT)
(630) 965-7792
Entity
Organization
Contact information
Practice address
755 S MILWAUKEE AVE STE 230, LIBERTYVILLE, IL 60048-3266
(847) 362-3250
Mailing address
1973 EASTHAVEN DR, BUFFALO GROVE, IL 60089-4810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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