Main Street Square Dental, Llc | |
2932 Finley Rd Downers Grove IL 60515-1042 | |
(630) 629-6299 | |
Not Available |
Full Name | Main Street Square Dental, Llc |
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Speciality | Dentist - General Practice |
Location | 2932 Finley Rd, Downers Grove, Illinois |
Authorized Official Name and Position | Robert Peterson (MEMBER) |
Authorized Official Contact | 8476246700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Main Street Square Dental, Llc 1644 Barkei Dr Batavia IL 60510-8304 Ph: (847) 624-6700 | Main Street Square Dental, Llc 2932 Finley Rd Downers Grove IL 60515-1042 Ph: (630) 629-6299 |
NPI Number | 1720623325 |
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Provider Enumeration Date | 11/07/2019 |
Last Update Date | 11/07/2019 |
Identifier | Type | State | Issuer |
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1720623325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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