Avid Dental Pc | |
115 Republic Ave Joliet IL 60435-6515 | |
(815) 483-2040 | |
(815) 483-2071 |
Full Name | Avid Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 115 Republic Ave, Joliet, Illinois |
Authorized Official Name and Position | David Joseph Rubis (PRESIDENT/OWNER) |
Authorized Official Contact | 8154832040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avid Dental Pc 115 Republic Ave Joliet IL 60435-6515 Ph: (815) 483-2040 | Avid Dental Pc 115 Republic Ave Joliet IL 60435-6515 Ph: (815) 483-2040 |
NPI Number | 1083802524 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 10/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083802524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19016647 (Illinois) | Primary |
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