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Organization
WILLIAM H. SLAVIN DDS LTD
Active
Organization
WILLIAM H. SLAVIN DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HENRY SLAVIN IV DDS (OWNER)
(815) 468-8832
Entity
Organization
Contact information
Practice address
1 N MAIN ST, MANTENO, IL 60950-1534
(815) 468-8832
(815) 468-8862
Mailing address
1 N MAIN ST, MANTENO, IL 60950-1534
(815) 468-8832
(815) 468-8862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49772
UNITED CONCORDIA PROVIDER
IL
Enumeration date
07/27/2006
Last updated
08/22/2020
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