Organization
REVOLUTION DENTAL
Active
Other names
Revolution Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL ALEXANDER-MUTTER LEONARD DDS (OWNER)
(312) 498-6160
Entity
Organization
Contact information
Practice address
113 E SCHAUMBURG RD, SCHAUMBURG, IL 60194-3518
(847) 301-1818
Mailing address
456 IDA PL, GLENCOE, IL 60022-1913
(312) 498-6160
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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