| Palos Pediatric Dentistry, Pc | |
|
12800 S Ridgeland Ave Suite H Palos Heights IL 60463-2390 | |
| (708) 280-9234 | |
| Not Available |
| Full Name | Palos Pediatric Dentistry, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12800 S Ridgeland Ave, Palos Heights, Illinois |
| Authorized Official Name and Position | Richard Norman Facko (PRESIDENT) |
| Authorized Official Contact | 7082809234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palos Pediatric Dentistry, Pc 12800 S Ridgeland Ave Suite H Palos Heights IL 60463-2390 Ph: (708) 280-9234 | Palos Pediatric Dentistry, Pc 12800 S Ridgeland Ave Suite H Palos Heights IL 60463-2390 Ph: (708) 280-9234 |
| NPI Number | 1851724975 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 08/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851724975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019028264 (Illinois) | Primary |
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