Organization
MARY ANN BALDINO-GOMEZ D.D.S., S.C.
Active
Other names
Mary Ann Baldino-Gomez D.D.S., S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN BALDINO-GOMEZ B.S., D.D.S (DENTIST)
(847) 265-9022
Entity
Organization
Contact information
Practice address
2450 GRASS LAKE RD, SUITE C, LINDENHURST, IL 60046-5613
(847) 265-9022
(847) 265-9023
Mailing address
18759 W. WESTWOOD PL, LAKE VILLA, IL 60046-7432
(847) 265-2782
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019020836
IL
Other
Enumeration date
12/15/2006
Last updated
04/12/2013
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