| Pediatric And Family Dental Pc | |
|
2050 Larkin Ave Suite 100 Elgin IL 60123-4405 | |
| (847) 987-0322 | |
| Not Available |
| Full Name | Pediatric And Family Dental Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2050 Larkin Ave, Elgin, Illinois |
| Authorized Official Name and Position | Scott D Goldman (OWNER) |
| Authorized Official Contact | 8479870322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric And Family Dental Pc 2050 Larkin Ave Suite 100 Elgin IL 60123-4405 Ph: () - | Pediatric And Family Dental Pc 2050 Larkin Ave Suite 100 Elgin IL 60123-4405 Ph: (847) 987-0322 |
| NPI Number | 1265717276 |
|---|---|
| Provider Enumeration Date | 10/21/2011 |
| Last Update Date | 08/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265717276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019027333 (Illinois) | Primary |
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