| Sam Mudrik Dds Ltd | |
| 
					317 W Dundee Rd Buffalo Grove IL 60089-3545  | |
| (847) 520-3020 | |
| (847) 520-7564 | 
| Full Name | Sam Mudrik Dds Ltd | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 317 W Dundee Rd, Buffalo Grove, Illinois | 
| Authorized Official Name and Position | Teresa Sanchez (FRONT DESK COORDINATOR) | 
| Authorized Official Contact | 8475203020 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sam Mudrik Dds Ltd 317 W Dundee Rd Buffalo Grove IL 60089-3545 Ph: (847) 520-3020  | Sam Mudrik Dds Ltd 317 W Dundee Rd Buffalo Grove IL 60089-3545 Ph: (847) 520-3020  | 
| NPI Number | 1679014062 | 
|---|---|
| Provider Enumeration Date | 03/17/2017 | 
| Last Update Date | 03/17/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679014062 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019.026125 (Illinois) | Primary | 
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