CRYSTAL LAKE FAMILY DENTAL

CRYSTAL LAKE, IL
NPI1154761492
Entity TypeOrganization
Authorized ContactALAN J ACIERNO
Owner
630-339-3172
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2013-07-01
Last Update Date2013-07-01
Business Address
CRYSTAL LAKE FAMILY DENTAL
651 W TERRA COTTA AVE SUITE 201
CRYSTAL LAKE, IL 60014-3404
Phone number: 630-339-3172
Mailing Address
CRYSTAL LAKE FAMILY DENTAL
129 S ROSELLE RD SUITE 102
SCHAUMBURG, IL 60193-5540
Phone number: 630-339-3172
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