Organization
GLEN FLORA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRANDI M SKINNER (OFFICE MANAGER)
(847) 623-0399
Entity
Organization
Contact information
Practice address
1020 W GLEN FLORA AVE, SUITE 102, WAUKEGAN, IL 60085-1882
(847) 623-0399
(847) 623-4745
Mailing address
1020 GELN FLORA AVE, SUITE 102, WAUKEGAN, IL 60085
(847) 623-0399
(847) 623-4745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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