Organization
ADVANCED DENTAL AND IMPLANT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER R POTTORFF (PRESIDENT)
(847) 854-1200
Entity
Organization
Contact information
Practice address
2310 HUNTINGTON DR. N., ALGONQUIN, IL 60102
(847) 854-1200
(847) 854-4080
Mailing address
2310 HUNTINGTON DR N., ALGONQUIN, IL 60102
(847) 854-1200
(847) 854-4080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.024833
IL
Other
Enumeration date
02/07/2017
Last updated
03/01/2019
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