Organization
DENTAL HEALTH AND BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS POLITO DDS (OWNER)
(847) 361-1133
Entity
Organization
Contact information
Practice address
1109 W PARK AVE, LIBERTYVILLE, IL 60048-2552
(847) 367-1133
(847) 367-3388
Mailing address
1109 W PARK AVE, LIBERTYVILLE, IL 60048-2552
(847) 367-1133
(847) 367-3388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.018686
IL
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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