Organization
ZIEBA DENTISTRY ROUND LAKE BEACH, LTD.
Active
Other names
Reilly & Siegel Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ZIEBA DDS (PRESIDENT)
(847) 727-4077
Entity
Organization
Contact information
Practice address
2 E ROLLINS RD STE 202, ROUND LAKE BEACH, IL 60073-3809
(847) 546-5550
Mailing address
1259 N WOOD ST APT 406, CHICAGO, IL 60622-8800
(847) 727-4077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
10/25/2019
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