Organization
CLIFFORD J SWANSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD J SWANSON D.D.S. (OWNER)
(847) 884-8876
Entity
Organization
Contact information
Practice address
2215 W SCHAUMBURG RD, SCHAUMBURG, IL 60194-3891
(847) 352-5410
(847) 352-1809
Mailing address
1077 HOLLI CT, SCHAUMBURG, IL 60194-4274
(847) 884-8876
(847) 884-8876
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018072
IL
Other
Enumeration date
11/16/2006
Last updated
01/27/2014
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