| Pediatric And Family Dentistry Pc | |
|
15 S Dryden Pl Arlington Heights IL 60004-6369 | |
| (312) 310-4543 | |
| Not Available |
| Full Name | Pediatric And Family Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 15 S Dryden Pl, Arlington Heights, Illinois |
| Authorized Official Name and Position | Scott D Goldman (OWNER) |
| Authorized Official Contact | 3123104543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric And Family Dentistry Pc 15 S Dryden Pl Arlington Heights IL 60004-6369 Ph: () - | Pediatric And Family Dentistry Pc 15 S Dryden Pl Arlington Heights IL 60004-6369 Ph: (312) 310-4543 |
| NPI Number | 1043597305 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 06/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043597305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019027333 (Illinois) | Primary |
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