Provider First Line Business Practice Location Address:
712 FRONT ST
Provider Second Line Business Practice Location Address:
EASY DENTAL CARE LLC
Provider Business Practice Location Address City Name:
MCHENRY
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60050-5530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-363-1577
Provider Business Practice Location Address Fax Number:
815-363-1677
Provider Enumeration Date:
09/30/2008