MAIN STREET DENTISTRY LLC

BOURBONNAIS, IL
NPI1316321524
Entity TypeOrganization
Authorized ContactALAN M. ACIERNO
Chief Financial Officer
630-339-3172
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2015-07-17
Last Update Date2015-09-15
Business Address
MAIN STREET DENTISTRY LLC
801 MAIN STREET NW
BOURBONNAIS, IL 60914
Phone number: 815-932-3516
Mailing Address
MAIN STREET DENTISTRY LLC
129 S. ROSELLE RD STE. 102
SCHAUMBURG, IL 60193
Phone number: 630-339-3172
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