Russell T. Ras, Dds,ltd. | |
6538 Joliet Rd Countryside IL 60525-4649 | |
(708) 354-2227 | |
(708) 354-2367 |
Full Name | Russell T. Ras, Dds,ltd. |
---|---|
Speciality | Clinic/center - Dental |
Location | 6538 Joliet Rd, Countryside, Illinois |
Authorized Official Name and Position | Russell Thomas Ras (OWNER) |
Authorized Official Contact | 7083542227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Russell T. Ras, Dds,ltd. 6538 Joliet Rd Countryside IL 60525-4649 Ph: (708) 354-2227 | Russell T. Ras, Dds,ltd. 6538 Joliet Rd Countryside IL 60525-4649 Ph: (708) 354-2227 |
NPI Number | 1598988065 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 01/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598988065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019.020398 (Illinois) | Primary |
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