| Park Place Dental | |
|
7702 W North Ave Elmwood Park IL 60707-4123 | |
| (630) 339-3172 | |
| (847) 891-6775 |
| Full Name | Park Place Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7702 W North Ave, Elmwood Park, Illinois |
| Authorized Official Name and Position | Alan J Acierno (OWNER) |
| Authorized Official Contact | 6303393172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Dental 129 S Roselle Rd Suite 102 Schaumburg IL 60193-5540 Ph: (630) 339-3172 | Park Place Dental 7702 W North Ave Elmwood Park IL 60707-4123 Ph: (630) 339-3172 |
| NPI Number | 1447690789 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447690789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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