| Modern Art Of Dentistry, Inc | |
|
75 S Milwaukee Ave Wheeling IL 60090-3187 | |
| (847) 465-0800 | |
| (847) 465-0053 |
| Full Name | Modern Art Of Dentistry, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 75 S Milwaukee Ave, Wheeling, Illinois |
| Authorized Official Name and Position | Karina Lyon Gavrilov (OWNER) |
| Authorized Official Contact | 8474650800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Art Of Dentistry, Inc 75 S Milwaukee Ave Wheeling IL 60090-3187 Ph: (847) 465-0800 | Modern Art Of Dentistry, Inc 75 S Milwaukee Ave Wheeling IL 60090-3187 Ph: (847) 465-0800 |
| NPI Number | 1003142100 |
|---|---|
| Provider Enumeration Date | 10/23/2009 |
| Last Update Date | 10/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003142100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0019-024691 (Illinois) | Primary |
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