Grove Dental | |
160 E Boughton Rd Bolingbrook IL 60440-2014 | |
(630) 759-8940 | |
Not Available |
Full Name | Grove Dental |
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Speciality | Clinic/center - Dental |
Location | 160 E Boughton Rd, Bolingbrook, Illinois |
Authorized Official Name and Position | Amanda Kurtz (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7246982058 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grove Dental Po Box 715279 Cincinnati OH 45271-5279 Ph: () - | Grove Dental 160 E Boughton Rd Bolingbrook IL 60440-2014 Ph: (630) 759-8940 |
NPI Number | 1417583592 |
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Provider Enumeration Date | 03/20/2020 |
Last Update Date | 04/29/2021 |
Identifier | Type | State | Issuer |
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1417583592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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