Pride Dental Llc | |
105 E Dekalb St Somonauk IL 60552-9116 | |
(815) 498-3609 | |
Not Available |
Full Name | Pride Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 105 E Dekalb St, Somonauk, Illinois |
Authorized Official Name and Position | Irfana Ilyas (DENTIST) |
Authorized Official Contact | 6109060335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pride Dental Llc 1735 Chadwicke Cir Naperville IL 60540-0398 Ph: (610) 906-0335 | Pride Dental Llc 105 E Dekalb St Somonauk IL 60552-9116 Ph: (815) 498-3609 |
NPI Number | 1750915690 |
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Provider Enumeration Date | 03/01/2020 |
Last Update Date | 03/01/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750915690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |