| Prosperritta Dental, Pllc | |
|
545 S York Rd Ste 200 Bensenville IL 60106-3000 | |
| (630) 766-0115 | |
| (630) 766-1164 |
| Full Name | Prosperritta Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 545 S York Rd Ste 200, Bensenville, Illinois |
| Authorized Official Name and Position | Shivam S Patel (OWNER) |
| Authorized Official Contact | 2245584897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperritta Dental, Pllc 545 S York Rd Ste 200 Bensenville IL 60106-3000 Ph: (630) 766-0115 | Prosperritta Dental, Pllc 545 S York Rd Ste 200 Bensenville IL 60106-3000 Ph: (630) 766-0115 |
| NPI Number | 1255090734 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255090734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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