Heritage Grove Family Dental P.c. | |
12426 S Van Dyke Rd Unit B Plainfield IL 60585-2700 | |
(815) 254-1375 | |
Not Available |
Full Name | Heritage Grove Family Dental P.c. |
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Speciality | Dentist - General Practice |
Location | 12426 S Van Dyke Rd, Plainfield, Illinois |
Authorized Official Name and Position | Pete A Gallos (DENTIST) |
Authorized Official Contact | 8152541375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heritage Grove Family Dental P.c. 12426 S Van Dyke Rd Unit B Plainfield IL 60585-2700 Ph: () - | Heritage Grove Family Dental P.c. 12426 S Van Dyke Rd Unit B Plainfield IL 60585-2700 Ph: (815) 254-1375 |
NPI Number | 1013336445 |
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Provider Enumeration Date | 04/14/2014 |
Last Update Date | 04/14/2014 |
Identifier | Type | State | Issuer |
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1013336445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019025501 (Illinois) | Primary |
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