Radiant Dental | |
899 S Weber Rd Suite B Bolingbrook IL 60490-5488 | |
(630) 226-1100 | |
(630) 863-7499 |
Full Name | Radiant Dental |
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Speciality | Dentist |
Location | 899 S Weber Rd, Bolingbrook, Illinois |
Authorized Official Name and Position | Bansri Shroff (DENTIST/PRESIDENT) |
Authorized Official Contact | 6302261100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Radiant Dental 899 S Weber Rd Suite B Bolingbrook IL 60490-5488 Ph: (630) 226-1100 | Radiant Dental 899 S Weber Rd Suite B Bolingbrook IL 60490-5488 Ph: (630) 226-1100 |
NPI Number | 1871808311 |
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Provider Enumeration Date | 08/09/2010 |
Last Update Date | 08/09/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871808311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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