| Hiroshi Ueno Dds Ms Pllc | |
|
916 Elk Grove Town Ctr Elk Grove Village IL 60007-3754 | |
| (314) 728-7175 | |
| Not Available |
| Full Name | Hiroshi Ueno Dds Ms Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 916 Elk Grove Town Ctr, Elk Grove Village, Illinois |
| Authorized Official Name and Position | Hiroshi Ueno (OWNER) |
| Authorized Official Contact | 3147287175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hiroshi Ueno Dds Ms Pllc 820 Sara Ct Elk Grove Village IL 60007-2900 Ph: () - | Hiroshi Ueno Dds Ms Pllc 916 Elk Grove Town Ctr Elk Grove Village IL 60007-3754 Ph: (314) 728-7175 |
| NPI Number | 1962169896 |
|---|---|
| Provider Enumeration Date | 11/28/2021 |
| Last Update Date | 02/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962169896 | NPI | - | NPPES |
| 1164807632 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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