DR. Angie Samuel

NPI #1134377468 in Gurnee, Illinois

Provider Information

NPI Number
1134377468
Entity Type
Individual
Name
DR. Angie Samuel
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 28, 2008
Last Updated
Jul 6, 2009

Practice Location

Address
6083 INDIAN TRAIL RD
City
Gurnee
ZIP Code
60031-4421
Phone
(248) 345-3199

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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