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Organization

COUNTRY COURT DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BOZENA SUTKOWSKI DMD (DENTIST)
(847) 680-5141
Entity
Organization

Contact information

Practice address
1880 W WINCHESTER RD STE 113, LIBERTYVILLE, IL 60048-5321
(847) 680-5141
(847) 680-5181
Mailing address
1880 W WINCHESTER RD STE 113, LIBERTYVILLE, IL 60048-5321
(847) 680-5141
(847) 680-5181

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/11/2018
Last updated
10/11/2018
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