| Elgin Dental | |
|
300 S Mclean Blvd Unit M. Elgin IL 60123-1023 | |
| (847) 531-5250 | |
| (847) 531-5270 |
| Full Name | Elgin Dental |
|---|---|
| Speciality | Dentist |
| Location | 300 S Mclean Blvd, Elgin, Illinois |
| Authorized Official Name and Position | Osmar Rodriguez (PRESIDENT) |
| Authorized Official Contact | 8475315250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elgin Dental 300 S Mclean Blvd Unit M. Elgin IL 60123-1023 Ph: (847) 531-5250 | Elgin Dental 300 S Mclean Blvd Unit M. Elgin IL 60123-1023 Ph: (847) 531-5250 |
| NPI Number | 1457524936 |
|---|---|
| Provider Enumeration Date | 04/07/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457524936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019025096 (Illinois) | Primary |
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