Organization
DAVID N MCAUSLAN DDS PC
Active
Other names
Genoa Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID N MCAUSLAN DDS (OWNER/ DENTIST)
(815) 784-5166
Entity
Organization
Contact information
Practice address
619 E MAIN ST, GENOA, IL 60135-1309
(815) 784-5166
(815) 784-5167
Mailing address
619 E MAIN ST, GENOA, IL 60135-1309
(815) 784-5166
(815) 784-5167
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019017239
IL
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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