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Organization
TRU DENTAL ILLINOIS, P.C.
Active
Organization
TRU DENTAL ILLINOIS, P.C.
Active
Parent organization
TRU DENTAL ILLINOIS, P.C.
Other names
Tru Family Dental - Crystal Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRU DENTAL ILLINOIS, P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
781 S MCHENRY AVE STE A, CRYSTAL LAKE, IL 60014-7444
(815) 459-3740
(815) 459-3740
Mailing address
781 S MCHENRY AVE STE A, CRYSTAL LAKE, IL 60014-7444
(815) 459-3740
(815) 459-3740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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