Organization
MLB DENTAL, LTD.
Active
Other names
Platinum Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLENE LYNN BEESON DDS (OWNER/PRESIDENT)
(630) 915-9510
Entity
Organization
Contact information
Practice address
333 CIRCLE AVE, FOREST PARK, IL 60130-3624
(708) 771-0330
(708) 771-4076
Mailing address
333 CIRCLE AVE, FOREST PARK, IL 60130-3624
(708) 771-0330
(708) 771-4076
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.027066
IL
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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