| Crescent Family Dental | |
|
307 S Milwaukee Ave Ste 101 Wheeling IL 60090-5035 | |
| (847) 459-3366 | |
| Not Available |
| Full Name | Crescent Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 307 S Milwaukee Ave Ste 101, Wheeling, Illinois |
| Authorized Official Name and Position | Deeptha Surampudi (PRESIDENT) |
| Authorized Official Contact | 2242299688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Family Dental 180 Brook Hill Ln Vernon Hills IL 60061-3142 Ph: (224) 229-9688 | Crescent Family Dental 307 S Milwaukee Ave Ste 101 Wheeling IL 60090-5035 Ph: (847) 459-3366 |
| NPI Number | 1043749286 |
|---|---|
| Provider Enumeration Date | 06/10/2017 |
| Last Update Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043749286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.030051 (Illinois) | Primary |
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