| Dental Club St. Charles P.c. | |
|
3381 W Main St Ste 3 St Charles IL 60175-1008 | |
| (630) 513-2121 | |
| Not Available |
| Full Name | Dental Club St. Charles P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3381 W Main St Ste 3, St Charles, Illinois |
| Authorized Official Name and Position | Thomas J Ryan (PRESIDENT) |
| Authorized Official Contact | 7083050729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Club St. Charles P.c. 11310 Poplar Creek Ln Orland Park IL 60467-7308 Ph: (708) 305-0729 | Dental Club St. Charles P.c. 3381 W Main St Ste 3 St Charles IL 60175-1008 Ph: (630) 513-2121 |
| NPI Number | 1720713993 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720713993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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