institution
Gerald
Dental Clinic/Center in Libertyville, Illinois
NPI 1578952065

Gerald is a Dental Clinic/Center based in Libertyville, IL and is specialized in Dental. Gerald practices in Libertyville, IL. The NPI Number for Gerald is 1578952065 and holds a License No. 019015751 (Illinois).

The current practice location address for Gerald is 1016 Michaels Ln, Libertyville, IL and can be reached out via phone at 847-902-8305.

Location: 1016 Michaels Ln, Libertyville, IL, 60048-3715
institution
Provider Profile Details
NPI Number
1578952065
Provider Name
Gerald
Credential
Provider Entity Type
Organization
Address
1016 Michaels Ln, Libertyville, IL, 60048-3715
Phone Number
847-902-8305
Fax Number
Provider Enumeration Date
01/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1016 Michaels Ln
City
State
Zip
60048-3715
Phone Number
847-902-8305
Fax Number
person
Provider Business Mailing Address Details
Address
1016 Michaels Ln
City
State
Zip
60048-3715
Phone Number
847-902-8305
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
019015751 (Illinois)
Definition
Definition to come...
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