| Excelcare Dental Llc | |
|
1227 N State Route 83 E Grayslake IL 60030-7932 | |
| (847) 548-2222 | |
| (847) 548-2223 |
| Full Name | Excelcare Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1227 N State Route 83, Grayslake, Illinois |
| Authorized Official Name and Position | Susan Oh (OWNER DENTIST) |
| Authorized Official Contact | 8475482222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelcare Dental Llc 1227 N State Route 83 E Grayslake IL 60030-7932 Ph: (847) 548-2222 | Excelcare Dental Llc 1227 N State Route 83 E Grayslake IL 60030-7932 Ph: (847) 548-2222 |
| NPI Number | 1073900460 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073900460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025715 (Illinois) | Primary |
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