Organization
DARTMOOR DENTAL CLINIC LLC
Active
Parent organization
ACIERNO DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACIERNO DENTAL, LLC
Authorized official
DR. ALAN J ACIERNO DDS (DENTIST)
(630) 339-3172
Entity
Organization
Contact information
Practice address
1500 CARLEMONT DR, SUITE C, CRYSTAL LAKE, IL 60014-1833
(815) 477-2273
Mailing address
129 S ROSELLE RD, SCHAUMBURG, IL 60193-5540
(630) 339-3172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19021132
IL
Other
Enumeration date
05/05/2014
Last updated
05/15/2014
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