| Mill Pond Dental Group | |
|
18700 Wolf Rd Ste 200 Mokena IL 60448-8456 | |
| (954) 536-4810 | |
| Not Available |
| Full Name | Mill Pond Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18700 Wolf Rd, Mokena, Illinois |
| Authorized Official Name and Position | Eric Alberto Young (DENTIST) |
| Authorized Official Contact | 9545364810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Pond Dental Group 18700 Wolf Rd Ste 200 Mokena IL 60448-8456 Ph: () - | Mill Pond Dental Group 18700 Wolf Rd Ste 200 Mokena IL 60448-8456 Ph: (954) 536-4810 |
| NPI Number | 1013440825 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 04/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013440825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019029534 (Illinois) | Primary |
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