| White Oak Dental Llc | |
|
105 Brennan Dr Kirkland IL 60146-8550 | |
| (815) 522-3541 | |
| Not Available |
| Full Name | White Oak Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 Brennan Dr, Kirkland, Illinois |
| Authorized Official Name and Position | William Madsen (SOLE MEMBER) |
| Authorized Official Contact | 6083349677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Oak Dental Llc 105 Brennan Dr Kirkland IL 60146-8550 Ph: () - | White Oak Dental Llc 105 Brennan Dr Kirkland IL 60146-8550 Ph: (815) 522-3541 |
| NPI Number | 1033707161 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033707161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Barbara J. Runne, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Brennan Drive, Kirkland, IL 60146 Phone: 815-522-3541 Fax: 815-522-2107 |