| Pvr Dental Pc | |
|
410 Greenbay Rd. Suite #1 Highwood IL 60040 | |
| (847) 230-9394 | |
| Not Available |
| Full Name | Pvr Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 Greenbay Rd., Highwood, Illinois |
| Authorized Official Name and Position | Priyadarshini Boinpally (PRESIDENT) |
| Authorized Official Contact | 3303387080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pvr Dental Pc 483 Evergreen Dr Vernon Hills IL 60061-2907 Ph: (847) 230-9394 | Pvr Dental Pc 410 Greenbay Rd. Suite #1 Highwood IL 60040 Ph: (847) 230-9394 |
| NPI Number | 1891196580 |
|---|---|
| Provider Enumeration Date | 09/12/2014 |
| Last Update Date | 09/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891196580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028057 (Illinois) | Primary |
Family Dentistry Of Highwood Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Washington Ave, Highwood, IL 60040 Phone: 847-681-1000 Fax: 847-681-1001 |