Dartmoor Dental Clinic LLC
NPI #1023428794 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1023428794
- Entity Type
- Organization
- Organization Name
- Dartmoor Dental Clinic LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ACIERNO DENTAL, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 5, 2014
- Last Updated
- May 15, 2014
Practice Location
- Address
- 1500 CARLEMONT DR
- Address 2
- SUITE C
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60014-1833
- Phone
- (815) 477-2273
Authorized Official
- Name
- DR. ALAN J ACIERNO, DDS
- Title
- DENTIST
- Phone
- (630) 339-3172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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