Organization
ADVANCED DENTAL CARE OF CICERO, LLC
Active
Other names
Advanced Dental Care of Cicero
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BEVER (REGIONAL MANAGER)
(317) 509-6499
Entity
Organization
Contact information
Practice address
130 W JACKSON ST, CICERO, IN 46034-5005
(317) 509-6499
Mailing address
130 W JACKSON ST, CICERO, IN 46034-5005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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