Tru Dental Illinois II Pllc
NPI #1649857483 in Gurnee, Illinois
Provider Information
- NPI Number
- 1649857483
- Entity Type
- Organization
- Organization Name
- Tru Dental Illinois II Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TRU DENTAL ILLINOIS II PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 26, 2021
- Last Updated
- Mar 26, 2021
Practice Location
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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