Cary Grove Dental LLC

NPI #1619317922 in Cary, Illinois

Provider Information

NPI Number: 1619317922
Entity Type: Organization
Organization Name: Cary Grove Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 1, 2013
Last Updated: Jul 1, 2013

Practice Location

Address: 2615 THREE OAKS RD
Address 2: SUITE 2D
City: Cary
State: Illinois
ZIP Code: 60013-6127
Phone: (630) 339-3172

Authorized Official

Name: DR. ALAN J ACIERNO, D.D.S.
Title: OWNER
Phone: (630) 339-3172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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