| Benjamin A. Baptist Dds Pc | |
|
2530 Burr Oak Ave North Riverside IL 60546-1515 | |
| (708) 442-7414 | |
| Not Available |
| Full Name | Benjamin A. Baptist Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2530 Burr Oak Ave, North Riverside, Illinois |
| Authorized Official Name and Position | Benjamin A Baptist (PRESIDENT/CEO) |
| Authorized Official Contact | 7084427414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin A. Baptist Dds Pc 2530 Burr Oak Ave North Riverside IL 60546-1515 Ph: (708) 442-7414 | Benjamin A. Baptist Dds Pc 2530 Burr Oak Ave North Riverside IL 60546-1515 Ph: (708) 442-7414 |
| NPI Number | 1881108249 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 11/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881108249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019027932 (Illinois) | Primary |
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