Apollo Dental Clinic, LLC

NPI #1083937742 in Gurnee, Illinois

Provider Information

NPI Number: 1083937742
Entity Type: Organization
Organization Name: Apollo Dental Clinic, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 10, 2010
Last Updated: Mar 10, 2010

Practice Location

Address: 6121 WASHINGTON ST
Address 2: SUITE 203
City: Gurnee
State: Illinois
ZIP Code: 60031-5305
Phone: (630) 267-4205

Authorized Official

Name: DR. SUMRANA S AHMED, DDS
Title: MEMBER
Phone: (630) 267-4205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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