| Kids Dentist, Pc | |
|
160 Commerce Dr Suite 100 Grayslake IL 60030-1601 | |
| (847) 223-1400 | |
| (847) 223-1478 |
| Full Name | Kids Dentist, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 160 Commerce Dr, Grayslake, Illinois |
| Authorized Official Name and Position | Don Friske (MANAGER) |
| Authorized Official Contact | 8472231400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dentist, Pc 160 Commerce Dr Suite 100 Grayslake IL 60030-1601 Ph: (847) 223-1400 | Kids Dentist, Pc 160 Commerce Dr Suite 100 Grayslake IL 60030-1601 Ph: (847) 223-1400 |
| NPI Number | 1417916834 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417916834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Illinois) | Primary |
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