Glen Flora Dental

NPI #1063592467 in Waukegan, Illinois

Provider Information

NPI Number: 1063592467
Entity Type: Organization
Organization Name: Glen Flora Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1020 W GLEN FLORA AVE
City: Waukegan
State: Illinois
ZIP Code: 60085-1882
Phone: (847) 623-0399

Authorized Official

Name: BRANDI SKINNER
Title: OFFICE MANAGER
Phone: (847) 623-0399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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