The Center for Dental Excellence, LLC

NPI #1639325293 in Flossmoor, Illinois

Provider Information

NPI Number: 1639325293
Entity Type: Organization
Organization Name: The Center for Dental Excellence, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 14, 2008
Last Updated: Aug 14, 2008

Practice Location

Address: 19615 GOVERNORS HWY
City: Flossmoor
State: Illinois
ZIP Code: 60422-2037
Phone: (708) 647-6453

Authorized Official

Name: DR. CHARLES J GREENEBAUM, DDS
Title: DOCTOR
Phone: (708) 647-6453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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