Organization
MARK E KLEIN DDS AND ASSOCIATES PC
Active
Other names
Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD KLEIN DDS (PRESIDENT)
(847) 364-5100
Entity
Organization
Contact information
Practice address
958 ELK GROVE TOWN CTR, ELK GROVE VILLAGE, IL 60007-3754
(847) 364-5100
(847) 364-9807
Mailing address
958 ELK GROVE TOWN CTR, ELK GROVE VILLAGE, IL 60007-3754
(847) 364-5100
(847) 364-9807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017467
IL
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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