| Pediatric And Family Dent | |
|
38 Plymouth Ct Lincolnshire IL 60069-3157 | |
| (312) 310-4543 | |
| Not Available |
| Full Name | Pediatric And Family Dent |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 38 Plymouth Ct, Lincolnshire, Illinois |
| Authorized Official Name and Position | Scott Goldman (PRESIDENT) |
| Authorized Official Contact | 3123104543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric And Family Dent 38 Plymouth Ct Lincolnshire IL 60069-3157 Ph: (312) 310-4543 | Pediatric And Family Dent 38 Plymouth Ct Lincolnshire IL 60069-3157 Ph: (312) 310-4543 |
| NPI Number | 1699039875 |
|---|---|
| Provider Enumeration Date | 07/02/2012 |
| Last Update Date | 07/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699039875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019027333 (Illinois) | Primary |
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