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Organization

GENTLE DENTAL SPA P.C.

Active
Other names
21st Century Dental Care L.L.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACQUELINE NIRO-KRAEMER DDS (OWNER)
(847) 275-8336
Entity
Organization

Contact information

Practice address
2200 W HIGGINS RD STE 335, HOFFMAN ESTATES, IL 60169-2484
(847) 490-8708
(847) 490-9920
Mailing address
2200 W HIGGINS RD STE 335, HOFFMAN ESTATES, IL 60169-2484
(847) 490-8708
(847) 490-9920

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-23708
IL

Other

Enumeration date
04/28/2006
Last updated
11/22/2023
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