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1154761492
CRYSTAL LAKE FAMILY DENTAL
CRYSTAL LAKE, IL
NPI
1154761492
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Entity Type
Organization
Authorized Contact
ALAN J ACIERNO
Owner
630-339-3172
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2013-07-01
Last Update Date
2013-07-01
Business Address
CRYSTAL LAKE FAMILY DENTAL
651 W TERRA COTTA AVE SUITE 201
CRYSTAL LAKE, IL 60014-3404
Phone number: 630-339-3172
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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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