Organization
ELGIN DENTAL PROFILE LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILAN RONCEVIC (GENERAL MANAGER)
(630) 516-0000
Entity
Organization
Contact information
Practice address
373 SUMMIT ST, STE 108, ELGIN, IL 60120-3733
(847) 888-9000
(847) 888-9321
Mailing address
373 SUMMIT ST, STE 108, ELGIN, IL 60120-3733
(847) 888-9000
(847) 888-9321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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