| Dartmoor Dental Clinic Llc | |
|
1500 Carlemont Dr Suite C Crystal Lake IL 60014-1833 | |
| (815) 477-2273 | |
| Not Available |
| Full Name | Dartmoor Dental Clinic Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1500 Carlemont Dr, Crystal Lake, Illinois |
| Authorized Official Name and Position | Alan J Acierno (DENTIST) |
| Authorized Official Contact | 6303393172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dartmoor Dental Clinic Llc 129 S Roselle Rd Schaumburg IL 60193-5540 Ph: (630) 339-3172 | Dartmoor Dental Clinic Llc 1500 Carlemont Dr Suite C Crystal Lake IL 60014-1833 Ph: (815) 477-2273 |
| NPI Number | 1023428794 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023428794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19021132 (Illinois) | Primary |
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