Organization
AFO DENTAL GROUP
Active
Other names
Augusta Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNA M PETTS (OFFICE MANAGER)
(847) 247-0600
Entity
Organization
Contact information
Practice address
1424 S BUTTERFIELD RD, MUNDELEIN, IL 60060-9424
(847) 247-0600
Mailing address
1424 S BUTTERFIELD RD, MUNDELEIN, IL 60060-9424
(847) 247-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
06/23/2008
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