Organization
G G FAMILY DENTAL CARE PC
Active
Other names
G & G Family Dental Care PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADIA GERMAN DMD (VICE PRESIDENT)
(847) 548-5750
Entity
Organization
Contact information
Practice address
1275 E BELVIDERE RD, STE 202, GRAYSLAKE, IL 60030
(847) 548-5750
(847) 548-5752
Mailing address
1275 E BELVIDERE RD, STE 202, GRAYSLAKE, IL 60030
(847) 548-5750
(847) 548-5752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19026228
IL
122300000X
Dentist
19026229
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112075
—
IL
Enumeration date
12/13/2006
Last updated
07/29/2008
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