| Ridge Dental Ltd | |
|
6422 W 107th St Chicago Ridge IL 60415 | |
| (708) 424-0052 | |
| (708) 424-0055 |
| Full Name | Ridge Dental Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6422 W 107th St, Chicago Ridge, Illinois |
| Authorized Official Name and Position | Christopher John Green (OWNER) |
| Authorized Official Contact | 7084240052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Dental Ltd 6422 W 107th St Chicago Ridge IL 60415 Ph: (708) 424-0052 | Ridge Dental Ltd 6422 W 107th St Chicago Ridge IL 60415 Ph: (708) 424-0052 |
| NPI Number | 1063556934 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063556934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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