Organization
ASSOCIATES FOR GENERAL DENTISTRY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY EDWARD VALLELY D.D.S. (OWNER)
(847) 392-4422
Entity
Organization
Contact information
Practice address
1307 N RAND RD, ARLINGTON HEIGHTS, IL 60004-4307
(847) 392-4422
(847) 392-4543
Mailing address
1307 N RAND RD, ARLINGTON HEIGHTS, IL 60004-4307
(847) 392-4422
(847) 392-4543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.015568
IL
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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