WHEATON PRAIRIE DENTAL LLC
Managed Care Organizations at Roosevelt Rd, Wheaton, IL

License number
Illinois 019015107
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Illinois 019029436
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: ALAN J ACIERNO DDS
Title: MANAGER
Phone: (630) 339-3172
Address
Address 2
610 W Roosevelt Rd SUITE A1, Wheaton, IL 60187
129 S Roselle Rd SUITE 102, Schaumburg, IL 60193
National Provider ID: 1619322773
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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