Organization
BROOKSIDE DENTAL CARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG A SPENCER DDS (OWNER)
(815) 469-8837
Entity
Organization
Contact information
Practice address
10175 W LINCOLN HWY, FRANKFORT, IL 60423-1274
(815) 469-8837
(815) 469-8837
Mailing address
10175 W LINCOLN HWY, FRANKFORT, IL 60423-1274
(815) 469-8837
(815) 469-8837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021315
IL
Other
Enumeration date
11/07/2006
Last updated
01/27/2009
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