| Revival Dentistry Llc | |
|
7132 W 127th St Palos Heights IL 60463-1560 | |
| (309) 207-0112 | |
| Not Available |
| Full Name | Revival Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 7132 W 127th St, Palos Heights, Illinois |
| Authorized Official Name and Position | Zachary Young (DENTIST/OWNER) |
| Authorized Official Contact | 3092070112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Dentistry Llc 7132 W 127th St Palos Heights IL 60463-1560 Ph: () - | Revival Dentistry Llc 7132 W 127th St Palos Heights IL 60463-1560 Ph: (309) 207-0112 |
| NPI Number | 1487294351 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487294351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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