Elgin Dental Profile Ltd.

NPI #1932370111 in Elgin, Illinois

Provider Information

NPI Number: 1932370111
Entity Type: Organization
Organization Name: Elgin Dental Profile Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2008
Last Updated: Mar 17, 2008

Practice Location

Address: 373 SUMMIT ST
Address 2: STE 108
City: Elgin
State: Illinois
ZIP Code: 60120-3733
Phone: (847) 888-9000

Authorized Official

Name: MR. MILAN RONCEVIC
Title: GENERAL MANAGER
Phone: (630) 516-0000

Specialties & Taxonomy Codes

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

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