Libertyville Pediatric Dentistry
Libertyville Pediatric Dentistry is a Dental Clinic/Center in Libertyville, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1870 W Winchester Rd Ste 143Libertyville, IL 60048-5359
Phone: (630) 854-6044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1043088784 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bianca Hassoun — Operator · (630) 854-6044 |
| NPI enumerated | December 12, 2023 |
| Last updated in NPPES | December 12, 2023 |
| Certification date | December 12, 2023 |
| Mailing address | 1870 W Winchester Rd Ste 143, Libertyville, IL 60048-5359 |
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