Organization
FLOSS DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN J. ACIERNO DDS (MANAGER)
(630) 339-3172
Entity
Organization
Contact information
Practice address
18650 DIXIE HIGHWAY, HOMEWOOD, IL 60430
(630) 339-3172
Mailing address
18650 DIXIE HIGHWAY, HOMEWOOD, IL 60430
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019021636
IL
305R00000X
Preferred Provider Organization
019028140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019021636
PPO
IL
Enumeration date
11/25/2014
Last updated
01/14/2015
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