| Park Ridge Dental Associates | |
|
318 W Touhy Ave Park Ridge IL 60068-4205 | |
| (847) 692-2303 | |
| (847) 692-2684 |
| Full Name | Park Ridge Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 318 W Touhy Ave, Park Ridge, Illinois |
| Authorized Official Name and Position | Brett Donald Anderson (OWNER) |
| Authorized Official Contact | 8476922303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Ridge Dental Associates 318 W Touhy Ave Park Ridge IL 60068-4205 Ph: (847) 692-2303 | Park Ridge Dental Associates 318 W Touhy Ave Park Ridge IL 60068-4205 Ph: (847) 692-2303 |
| NPI Number | 1992928568 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992928568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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