PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC

PARK RIDGE, IL
NPI1588703490
Former Legal Business NamePERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LTD
Entity TypeOrganization
Authorized ContactGEORGE A MANDELARIS
Owner Periodontist
630-627-3930
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: IL  019024971)
Additional Taxonomies1223P0300X Dentist, Periodontics
(Licence: IL  019030200)
1223P0300X Dentist, Periodontics
(Licence: IL  019014972)
124Q00000X Dental Hygienist
(Licence: IL  020005282)
Enumeration Date2007-02-06
Last Update Date2016-12-29
Business Address
PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
1875 DEMPSTER ST SUITE 250
PARK RIDGE, IL 60068-1186
Phone number: 847-698-1180
Mailing Address
PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
1S224 SUMMIT AVE SUITE 205
OAKBROOK TERRACE, IL 60181-3983
Phone number: 630-627-3930
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