Organization
ZIEBA DENTISTRY GURNEE, LTD.
Active
Other names
Excellence in Dentistry Gurnee
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ZIEBA DDS (PRESIDENT)
(773) 456-8835
Entity
Organization
Contact information
Practice address
5101 WASHINGTON ST # 2V, GURNEE, IL 60031-5916
(847) 244-4000
Mailing address
1259 N WOOD ST APT 406, CHICAGO, IL 60622-8800
(847) 727-4077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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