Organization
GLEN FLORA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI SKINNER (OFFICE MANAGER)
(847) 623-0399
Entity
Organization
Contact information
Practice address
1020 W GLEN FLORA AVE, WAUKEGAN, IL 60085-1882
(847) 623-0399
(847) 623-4745
Mailing address
1020 W GLEN FLORA AVE, WAUKEGAN, IL 60085-1882
(847) 623-0399
(847) 623-4745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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