Organization
MLB DENTAL, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE LYNN BEESON D.D.S. (DENTIST)
(630) 915-9510
Entity
Organization
Contact information
Practice address
136 S BOLINGBROOK DR, BOLINGBROOK, IL 60440-2852
(630) 739-5500
Mailing address
17W230 OAKDALE LN, BENSENVILLE, IL 60106-2838
(630) 915-9510
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027066
IL
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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