Provider Demographics
NPI:1013193481
Name:REYMAR DENTAL CLINIC
Entity Type:Organization
Organization Name:REYMAR DENTAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:WOLF
Authorized Official - Last Name:GEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:847-259-7482
Mailing Address - Street 1:1020 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3169
Mailing Address - Country:US
Mailing Address - Phone:847-259-7482
Mailing Address - Fax:847-259-7494
Practice Address - Street 1:1020 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3169
Practice Address - Country:US
Practice Address - Phone:847-259-7482
Practice Address - Fax:847-259-7494
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REYMAR DENTAL CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-16
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty