| Orland Square Dental Llc | |
|
62 Orland Square Dr Ste 304 Orland Park IL 60462-6560 | |
| (708) 349-1919 | |
| Not Available |
| Full Name | Orland Square Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 62 Orland Square Dr Ste 304, Orland Park, Illinois |
| Authorized Official Name and Position | Kristy Wolter (INSURANCE MANAGER) |
| Authorized Official Contact | 6308695857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orland Square Dental Llc 62 Orland Square Dr Ste 304 Orland Park IL 60462-6560 Ph: (708) 349-1919 | Orland Square Dental Llc 62 Orland Square Dr Ste 304 Orland Park IL 60462-6560 Ph: (708) 349-1919 |
| NPI Number | 1134628597 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 02/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134628597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019018843 (Illinois) | Primary |
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