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Organization
DEXTER DENTAL LLC
Active
Organization
DEXTER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDON ALEXANDER TAYLOR CPCS (CREDENTIALING & PAYER RELATIONS MAN)
(847) 453-7396
Entity
Organization
Contact information
Practice address
47 CLOCK TOWER PLAZA, ELGIN, IL 60120-7800
(847) 695-8780
(847) 695-0939
Mailing address
2050 EAST ALGONQUIN ROAD, SUITE 610, SCHAUMBURG, IL 60173-4166
(847) 453-7396
(847) 453-7396
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019026920
IL
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
06/25/2021
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