Second Street Dental LLC
NPI #1225478563 in St Charles, Illinois
Provider Information
- NPI Number
- 1225478563
- Entity Type
- Organization
- Organization Name
- Second Street Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 1, 2013
- Last Updated
- Jul 1, 2013
Practice Location
- Address
- 115 S 2ND ST
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-2812
- Phone
- (630) 339-3172
Authorized Official
- Name
- DR. ALAN J ACIERNO, D.D.S.
- Title
- OWNER
- Phone
- (630) 339-3172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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