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NPI Profile for DCP OF ILLINOIS CRYSTAL LAKE in CRYSTAL LAKE, IL.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI # | 1003089251 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/09/2008 | |
| Last updated | 09/20/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DCP OF ILLINOIS - CRYSTAL LAKE
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DCP OF ILLINOIS - CRYSTAL LAKE