| Village Dental | |
|
958 Elk Grove Town Ctr Elk Grove Village IL 60007-3754 | |
| (847) 364-5100 | |
| (847) 364-9807 |
| Full Name | Village Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 958 Elk Grove Town Ctr, Elk Grove Village, Illinois |
| Authorized Official Name and Position | Mark Edward Klein (PRESIDENT) |
| Authorized Official Contact | 8473645100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental 958 Elk Grove Town Ctr Elk Grove Village IL 60007-3754 Ph: (847) 364-5100 | Village Dental 958 Elk Grove Town Ctr Elk Grove Village IL 60007-3754 Ph: (847) 364-5100 |
| NPI Number | 1710387162 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 09/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710387162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019017467 (Illinois) | Primary |
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