| My Dentist, Inc., P.c. | |
|
97 Paxton Ave Calumet City IL 60409-1509 | |
| (708) 868-2888 | |
| (708) 868-2867 |
| Full Name | My Dentist, Inc., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 97 Paxton Ave, Calumet City, Illinois |
| Authorized Official Name and Position | David Yu (PRESIDENT) |
| Authorized Official Contact | 7088682888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Dentist, Inc., P.c. 97 Paxton Ave Calumet City IL 60409-1509 Ph: (708) 868-2888 | My Dentist, Inc., P.c. 97 Paxton Ave Calumet City IL 60409-1509 Ph: (708) 868-2888 |
| NPI Number | 1356330567 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356330567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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