Organization
DENTAL HEALTH CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL K MARINIC DDS (PRESIDENT)
(847) 475-8700
Entity
Organization
Contact information
Practice address
2611 BROADWAY AVE, EVANSTON, IL 60201-1501
(847) 475-8700
(847) 475-9964
Mailing address
2611 BROADWAY AVE, EVANSTON, IL 60201-1501
(847) 475-8700
(847) 475-9964
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
19020840
IL
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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