Pioneer Dental Corp | |
1022 N Northwest Hwy Park Ridge IL 60068-1831 | |
(847) 292-8200 | |
Not Available |
Full Name | Pioneer Dental Corp |
---|---|
Speciality | Dentist |
Location | 1022 N Northwest Hwy, Park Ridge, Illinois |
Authorized Official Name and Position | Luma Walid Naim (PRESIDENT) |
Authorized Official Contact | 8472928200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pioneer Dental Corp 444 N Northwest Hwy Suite 230 Park Ridge IL 60068-3263 Ph: (847) 292-8200 | Pioneer Dental Corp 1022 N Northwest Hwy Park Ridge IL 60068-1831 Ph: (847) 292-8200 |
NPI Number | 1710135736 |
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Provider Enumeration Date | 09/03/2008 |
Last Update Date | 04/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710135736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019027247 (Illinois) | Primary |
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