| A Dental Place Ltd. | |
|
845 S Main St Suite 202 Lombard IL 60148-3350 | |
| (630) 620-7300 | |
| (630) 620-7352 |
| Full Name | A Dental Place Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 845 S Main St, Lombard, Illinois |
| Authorized Official Name and Position | Dan Fong (OWNER) |
| Authorized Official Contact | 6306207300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Dental Place Ltd. 845 S Main St Suite 202 Lombard IL 60148-3350 Ph: (630) 620-7300 | A Dental Place Ltd. 845 S Main St Suite 202 Lombard IL 60148-3350 Ph: (630) 620-7300 |
| NPI Number | 1356617492 |
|---|---|
| Provider Enumeration Date | 03/22/2012 |
| Last Update Date | 03/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356617492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19020812 (Illinois) | Primary |
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