Individual
CLIFFORD MICHAEL MOLLSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1455 EAST GOLF ROAD, SUITE 118, DES PLAINES, IL 60016
(847) 824-5044
(847) 824-9530
Mailing address
1455 EAST GOLF ROAD, SUITE 118, DES PLAINES, IL 60016
(847) 824-5044
(847) 824-9530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A12965
IL
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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