Mclean Dental Clinic, P.c.

NPI #1295122539 in Elgin, Illinois

Provider Information

NPI Number: 1295122539
Entity Type: Organization
Organization Name: Mclean Dental Clinic, P.c.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 24, 2015
Last Updated: Apr 24, 2015

Practice Location

Address: 552 N MCLEAN BLVD
City: Elgin
State: Illinois
ZIP Code: 60123-3242
Phone: (847) 931-9744

Authorized Official

Name: DR. MUMTAZ SIDDIQUE, D.D.S., M.SC.
Title: DOCTOR
Phone: (847) 931-9744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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