| Fairfield Dental | |
|
732 N Fairfield Rd Round Lake IL 60073-8160 | |
| (847) 740-4100 | |
| Not Available |
| Full Name | Fairfield Dental |
|---|---|
| Speciality | Dentist |
| Location | 732 N Fairfield Rd, Round Lake, Illinois |
| Authorized Official Name and Position | George Korovilas (PRESIDENT) |
| Authorized Official Contact | 7737404100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Dental 3607 W Lawrence Ave Chicago IL 60625-5605 Ph: (773) 588-7660 | Fairfield Dental 732 N Fairfield Rd Round Lake IL 60073-8160 Ph: (847) 740-4100 |
| NPI Number | 1629347497 |
|---|---|
| Provider Enumeration Date | 12/22/2011 |
| Last Update Date | 12/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629347497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019023746 (Illinois) | Primary |
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