Organization
ABD DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER KRAUSHAAR (PRS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
444 W ARMY TRAIL RD, BLOOMINGDALE, IL 60108-1379
(630) 387-9764
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030560
IL
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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