Organization
GENTLE DENTAL OF ISLAND LAKE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN F SHERWIN DDS (PRESIDENT)
(847) 487-1166
Entity
Organization
Contact information
Practice address
638 E STATE RD, ISLAND LAKE, IL 60042-8218
(847) 487-1166
(847) 487-8431
Mailing address
638 E STATE RD, ISLAND LAKE, IL 60042-8218
(847) 487-1166
(847) 487-8431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/10/2006
Last updated
01/24/2008
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