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Organization

CEDAR RIDGE DENTAL

Active
Other names
Occlusal Enterprise
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GIOVANNI ARISTODEMO (DOCTOR)
(847) 854-0525
Entity
Organization

Contact information

Practice address
2110 W ALGONQUIN RD, LAKE IN THE HILLS, IL 60156-1370
(847) 854-0525
(847) 854-0525
Mailing address
2110 W ALGONQUIN RD, LAKE IN THE HILLS, IL 60156-1370
(847) 854-0525

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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