GERALD

LIBERTYVILLE, IL
NPI1578952065
Entity TypeOrganization
Authorized ContactGERALD A DISMER
Owner
847-902-8305
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: IL  019015751)
Enumeration Date2015-01-21
Last Update Date2015-01-21
Business Address
GERALD
1016 MICHAELS LN
LIBERTYVILLE, IL 60048-3715
Phone number: 847-902-8305
Mailing Address
GERALD
1016 MICHAELS LN
LIBERTYVILLE, IL 60048-3715
Phone number: 847-902-8305
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