| Plum Grove Family Dental | |
|
2166 Plum Grove Rd Rolling Meadows IL 60008-1932 | |
| (847) 221-5860 | |
| (847) 221-5861 |
| Full Name | Plum Grove Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2166 Plum Grove Rd, Rolling Meadows, Illinois |
| Authorized Official Name and Position | Ye Wang (THE PRESIDENT) |
| Authorized Official Contact | 8472215860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plum Grove Family Dental 2166 Plum Grove Rd Rolling Meadows IL 60008-1932 Ph: (847) 221-5860 | Plum Grove Family Dental 2166 Plum Grove Rd Rolling Meadows IL 60008-1932 Ph: (847) 221-5860 |
| NPI Number | 1760725436 |
|---|---|
| Provider Enumeration Date | 04/01/2013 |
| Last Update Date | 04/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760725436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025656 (Illinois) | Primary |
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