Organization · Type 2 NPI
Sam Mudrik DDS Ltd
Dental Clinic/Center · Buffalo Grove, IL
NPI number
1679014062
Active
Practice location
317 W Dundee Rd
Buffalo Grove, IL 60089-3545
Fax (847) 520-7564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019.026125 (IL) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1679014062
Sam Mudrik DDS Ltd's National Provider Identifier is 1679014062, issued on Mar 17, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Buffalo Grove, IL. The record was last updated on Mar 17, 2017.