| Des Plaines Family Dentistry, Llc | |
|
1695 Elk Blvd Des Plaines IL 60016-4721 | |
| (773) 966-0505 | |
| (773) 966-0510 |
| Full Name | Des Plaines Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1695 Elk Blvd, Des Plaines, Illinois |
| Authorized Official Name and Position | Mykola Rudyk (DENTIST) |
| Authorized Official Contact | 2242555050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Des Plaines Family Dentistry, Llc 1695 Elk Blvd Des Plaines IL 60016-4721 Ph: (773) 966-0505 | Des Plaines Family Dentistry, Llc 1695 Elk Blvd Des Plaines IL 60016-4721 Ph: (773) 966-0505 |
| NPI Number | 1629658737 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629658737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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