| Plainfield Family Dental Center | |
|
24204 W Lockport St Plainfield IL 60544-2902 | |
| (815) 436-1000 | |
| (815) 436-1464 |
| Full Name | Plainfield Family Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24204 W Lockport St, Plainfield, Illinois |
| Authorized Official Name and Position | Peter J. Pullara (OWNER) |
| Authorized Official Contact | 8154361000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plainfield Family Dental Center 24204 W Lockport St Plainfield IL 60544-2902 Ph: (815) 436-1000 | Plainfield Family Dental Center 24204 W Lockport St Plainfield IL 60544-2902 Ph: (815) 436-1000 |
| NPI Number | 1861607798 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 02/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861607798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021493 (Illinois) | Primary |
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