Hub Family Dental | |
409 Lincoln Highway Rochelle IL 61068 | |
(815) 561-6058 | |
Not Available |
Full Name | Hub Family Dental |
---|---|
Speciality | Dentist |
Location | 409 Lincoln Highway, Rochelle, Illinois |
Authorized Official Name and Position | Shazeen M Pardesi (VICE PRESIDENT) |
Authorized Official Contact | 8152624540 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hub Family Dental 409 Lincoln Hwy Rochelle IL 61068-1642 Ph: (815) 561-6058 | Hub Family Dental 409 Lincoln Highway Rochelle IL 61068 Ph: (815) 561-6058 |
NPI Number | 1871942730 |
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Provider Enumeration Date | 06/10/2016 |
Last Update Date | 06/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871942730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019030152 (Illinois) | Primary |
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