Organization
EXCELCARE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN OH DDS (OWNER DENTIST)
(847) 548-2222
Entity
Organization
Contact information
Practice address
1227 N STATE ROUTE 83, E, GRAYSLAKE, IL 60030-7932
(847) 548-2222
(847) 548-2223
Mailing address
1227 N STATE ROUTE 83, E, GRAYSLAKE, IL 60030-7932
(847) 548-2222
(847) 548-2223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025715
IL
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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