Excelcare Dental LLC

NPI #1073900460 in Grayslake, Illinois

Provider Information

NPI Number: 1073900460
Entity Type: Organization
Organization Name: Excelcare Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2015
Last Updated: Apr 23, 2015

Practice Location

Address: 1227 N STATE ROUTE 83
Address 2: E
City: Grayslake
State: Illinois
ZIP Code: 60030-7932
Phone: (847) 548-2222

Authorized Official

Name: DR. SUSAN OH, DDS
Title: OWNER DENTIST
Phone: (847) 548-2222

Specialties & Taxonomy Codes

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

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