Organization
THE CENTER FOR PERIODONTICS & IMPLANT DENTISTRY
Active
Other names
CPID
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN FRANK (OFFICE MANAGER)
(847) 818-9950
Entity
Organization
Contact information
Practice address
1501 W DUNDEE RD, #108, BUFFALO GROVE, IL 60089-4006
(847) 818-9950
(847) 818-9968
Mailing address
1501 W DUNDEE RD, #108, BUFFALO GROVE, IL 60089-4006
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
060005106
IL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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