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Individual

DR. MARGUERITE ANGELA BARBAGALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
460 COVENTRY LN, SUITE 202, CRYSTAL LAKE, IL 60014-7561
(815) 459-3100
(815) 459-6794
Mailing address
460 COVENTRY LN, SUITE 202, CRYSTAL LAKE, IL 60014-7561
(815) 459-3100
(815) 459-6794

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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