| Genrikh Gandelsman Dds Msd Ltd | |
|
3065 Falling Waters Blvd Lindenhurst IL 60046-6793 | |
| (224) 643-4381 | |
| Not Available |
| Full Name | Genrikh Gandelsman Dds Msd Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3065 Falling Waters Blvd, Lindenhurst, Illinois |
| Authorized Official Name and Position | Genrikh Gandelsman (PRESIDENT) |
| Authorized Official Contact | 2246434381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genrikh Gandelsman Dds Msd Ltd 3065 Falling Waters Blvd Lindenhurst IL 60046-6793 Ph: (224) 643-4381 | Genrikh Gandelsman Dds Msd Ltd 3065 Falling Waters Blvd Lindenhurst IL 60046-6793 Ph: (224) 643-4381 |
| NPI Number | 1356496350 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356496350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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