| Prodentalcare | |
|
300 Randall Rd South Elgin IL 60177-2261 | |
| (630) 883-0200 | |
| Not Available |
| Full Name | Prodentalcare |
|---|---|
| Speciality | Dentist |
| Location | 300 Randall Rd, South Elgin, Illinois |
| Authorized Official Name and Position | Rick Brar (OWNER) |
| Authorized Official Contact | 6308830200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodentalcare 300 Randall Rd South Elgin IL 60177-2261 Ph: (630) 883-0200 | Prodentalcare 300 Randall Rd South Elgin IL 60177-2261 Ph: (630) 883-0200 |
| NPI Number | 1417312612 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 12/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417312612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019021499 (Illinois) | Primary |
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