Organization
NATALIYA KORNIYCHUK DMD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIYA KORNIYCHUK (PRESIDENT)
(224) 616-9264
Entity
Organization
Contact information
Practice address
34484 N US HIGHWAY 45, SUITE C, THIRD LAKE, IL 60030-4038
(224) 541-4066
Mailing address
1002 BAYSIDE DR, PALATINE, IL 60074-3211
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019.028386
IL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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