DAVID R. MORTENSEN

PARK CITY, IL
NPI1629281134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019-016961)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Dr. DAVID R. MORTENSEN D.M.D.
355 GREENLEAF AVE SUITE A
PARK CITY, IL 60085-5708
Phone number: 847-244-4455
Mailing Address
Dr. DAVID R. MORTENSEN D.M.D.
2013 GREYSTEM CIR APT #207
GURNEE, IL 60031-9336
Phone number: 847-244-4455
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