| Tru Dental Illinois, P.c. | |
|
781 S Mchenry Ave Ste A Crystal Lake IL 60014-7444 | |
| (815) 459-3740 | |
| (815) 459-3740 |
| Full Name | Tru Dental Illinois, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 781 S Mchenry Ave Ste A, Crystal Lake, Illinois |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Dental Illinois, P.c. 781 S Mchenry Ave Ste A Crystal Lake IL 60014-7444 Ph: (815) 459-3740 | Tru Dental Illinois, P.c. 781 S Mchenry Ave Ste A Crystal Lake IL 60014-7444 Ph: (815) 459-3740 |
| NPI Number | 1902481369 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902481369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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