Organization
METROSMILES - WAUKEGAN DENTAL PC
Active
Parent organization
METROSMILES - CICERO DENTAL, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROSMILES - CICERO DENTAL, P.C.
Authorized official
CHRISTOS TSALIAGOS (PRESIDENT)
(847) 331-0901
Entity
Organization
Contact information
Practice address
458 N GREEN BAY RD, WAUKEGAN, IL 60085-3149
(847) 331-0901
Mailing address
4842 W CERMAK RD, CICERO, IL 60804-2531
(708) 222-8302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
08/11/2014
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