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Organization

TIMOTHY V ERDLE DMD PLLC

Active
Other names
Institute of Dental Implants and Periodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY VINCENT ERDLE DMD (OWNER)
(847) 662-3414
Entity
Organization

Contact information

Practice address
310 TRI STATE PKWY STE 100, GURNEE, IL 60031-5282
(847) 662-3414
Mailing address
310 TRI STATE PKWY STE 100, GURNEE, IL 60031-5282
(847) 662-3414

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
03/10/2023
Last updated
03/13/2023
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