Organization
DENTAL PROFESSIONALS OF ALGONQUIN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN D AN DMD (PRESIDENT)
(847) 458-6684
Entity
Organization
Contact information
Practice address
1485 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-6684
(847) 458-6683
Mailing address
1485 MERCHANT DR, ALGONQUIN, IL 60102-5917
(847) 458-6684
(847) 458-6683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025478
IL
Other
Enumeration date
11/07/2006
Last updated
05/21/2014
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