| Pediatric Dental Associates, Pc | |
|
690 N Il Route 31 Suite D Crystal Lake IL 60012-3790 | |
| (815) 459-2727 | |
| (815) 479-5723 |
| Full Name | Pediatric Dental Associates, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 690 N Il Route 31, Crystal Lake, Illinois |
| Authorized Official Name and Position | George Lin (PEDIATRIC DENTAL) |
| Authorized Official Contact | 8154592727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Associates, Pc 690 N Il Route 31 Suite D Crystal Lake IL 60012-3790 Ph: (815) 459-2727 | Pediatric Dental Associates, Pc 690 N Il Route 31 Suite D Crystal Lake IL 60012-3790 Ph: (815) 459-2727 |
| NPI Number | 1568709988 |
|---|---|
| Provider Enumeration Date | 01/04/2013 |
| Last Update Date | 01/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568709988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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