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Individual

DR. LINDA M SOMMERCORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, DDS, RPH

Contact information

Practice address
1216 AMERICAN WAY STE 104, LIBERTYVILLE, IL 60048-3940
(847) 367-8084
(847) 367-8722
Mailing address
31134 PRAIRIE RIDGE RD, LIBERTYVILLE, IL 60048-4898
(847) 367-8084
(847) 367-8094

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019021396
IL
1223E0200X
Endodontics
Primary
021001922
IL
1223G0001X
General Practice Dentistry
021001922
IL

Other

Enumeration date
09/21/2012
Last updated
09/08/2015
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