Organization
DENTISTRY FOR ALL AGES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ROBERT LEISCHNER SR. DDS (PRESIDENT)
(847) 439-2445
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 660, ELK GROVE VILLAGE, IL 60007-3361
(847) 439-2445
(847) 439-2444
Mailing address
800 BIESTERFIELD RD, SUITE 660, ELK GROVE VILLAGE, IL 60007-3361
(847) 439-2445
(847) 439-2444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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