Organization
KURT W. RAACK, M.S., D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT W RAACK D.D.S. (PRESIDENT)
(630) 262-8686
Entity
Organization
Contact information
Practice address
2700 KESLINGER RD, SUITE A, GENEVA, IL 60134-4645
(630) 262-8686
(630) 262-8685
Mailing address
2700 KESLINGER RD, SUITE A, GENEVA, IL 60134-4645
(630) 262-8686
(630) 262-8685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396961215
TYPE 1 NPI
IL
Enumeration date
08/31/2009
Last updated
08/31/2009
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