Individual
MRS. MARY ANN BALDINO-GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2450 GRASS LAKE RD., STE. C., LINDENHURST, IL 60046-5607
(847) 265-9022
(847) 265-9023
Mailing address
2450 GRASS LAKE RD., STE. C., LINDENHURST, IL 60046-5607
(847) 265-9022
(847) 265-9023
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020836
IL
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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