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Advanced Endodontics, PC

NPI #1588163364 in Gurnee, Illinois

Provider Information

NPI Number
1588163364
Entity Type
Organization
Organization Name
Advanced Endodontics, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 7, 2018
Last Updated
Feb 7, 2018

Practice Location

Address
103 S. GREENLEAF STREET
Address 2
SUITE K
City
Gurnee
State
Illinois
ZIP Code
60031
Phone
(847) 782-0048

Authorized Official

Name
DR. JOHN E STUPARITZ, DDS, MS
Title
PRESIDENT OWNER DDS
Phone
(847) 840-7580

Specialties & Taxonomy Codes

Specialty
Dentist - Endodontics — Endodontics
Dentist - General Practice — General Practice

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