Dentique - Downers Grove | |
4121 Fairview Ave Ste 205 Downers Grove IL 60515-2267 | |
(630) 968-8439 | |
(630) 968-7259 |
Full Name | Dentique - Downers Grove |
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Speciality | Dentist |
Location | 4121 Fairview Ave Ste 205, Downers Grove, Illinois |
Authorized Official Name and Position | Pradeep Khurana (OWNER) |
Authorized Official Contact | 3123999595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dentique - Downers Grove 4121 Fairview Ave Ste 205 Downers Grove IL 60515-2267 Ph: (630) 968-8439 | Dentique - Downers Grove 4121 Fairview Ave Ste 205 Downers Grove IL 60515-2267 Ph: (630) 968-8439 |
NPI Number | 1073282661 |
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Provider Enumeration Date | 09/08/2021 |
Last Update Date | 04/25/2023 |
Identifier | Type | State | Issuer |
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1073282661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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