| Trenton Dental Group | |
|
9437 Holy Cross Ln. Breese IL 62230 | |
| (618) 526-4233 | |
| (618) 526-4908 |
| Full Name | Trenton Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9437 Holy Cross Ln., Breese, Illinois |
| Authorized Official Name and Position | Joe Cao Truong (PRESIDENT) |
| Authorized Official Contact | 6185264233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trenton Dental Group 9437 Holy Cross Ln. Breese IL 62230 Ph: (618) 526-4233 | Trenton Dental Group 9437 Holy Cross Ln. Breese IL 62230 Ph: (618) 526-4233 |
| NPI Number | 1730287434 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730287434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Breese Dental Care, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Main St, Breese, IL 62230 Phone: 618-526-2020 Fax: 618-526-8330 |