Organization
AURORA L CICEOVAN DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURORA L CICEOVAN DDS (PRESIDENT)
(847) 358-8080
Entity
Organization
Contact information
Practice address
1530 E DUNDEE RD, SUITE 300, PALATINE, IL 60074-8325
(847) 358-8080
Mailing address
803 KENNICOTT PL, MOUNT PROSPECT, IL 60056-4072
(847) 806-6765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024038
IL
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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