Organization · Type 2 NPI
Libertyville Pediatric Dentistry
Dental Clinic/Center · Libertyville, IL
NPI number
1043088784
Active
Practice location
1870 W Winchester Rd Ste 143
Libertyville, IL 60048-5359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Libertyville
About NPI 1043088784
Libertyville Pediatric Dentistry's National Provider Identifier is 1043088784, issued on Dec 12, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Libertyville, IL. The record was last updated on Dec 12, 2023.