| Endodontic Associates Of Park Ridge Ltd | |
|
111 S Washington #202 Park Ridge IL 60068 | |
| (847) 823-4161 | |
| (847) 823-4163 |
| Full Name | Endodontic Associates Of Park Ridge Ltd |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 111 S Washington, Park Ridge, Illinois |
| Authorized Official Name and Position | Raymond Alan Pollina (PRESIDENT) |
| Authorized Official Contact | 8478234161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Associates Of Park Ridge Ltd 111 S Washington #202 Park Ridge IL 60068 Ph: (847) 823-4161 | Endodontic Associates Of Park Ridge Ltd 111 S Washington #202 Park Ridge IL 60068 Ph: (847) 823-4161 |
| NPI Number | 1023232220 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023232220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 19A14137 (Illinois) | Primary |
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