| Village Dental, Pc | |
|
523 Park Dr Kenilworth IL 60043-1082 | |
| (847) 251-8990 | |
| (847) 853-0781 |
| Full Name | Village Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 523 Park Dr, Kenilworth, Illinois |
| Authorized Official Name and Position | Cathy S Waterloo (OWNER) |
| Authorized Official Contact | 8472518990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Dental, Pc 523 Park Dr Kenilworth IL 60043-1082 Ph: (847) 251-8990 | Village Dental, Pc 523 Park Dr Kenilworth IL 60043-1082 Ph: (847) 251-8990 |
| NPI Number | 1417327750 |
|---|---|
| Provider Enumeration Date | 09/29/2015 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417327750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019022877 (Illinois) | Primary |
Duda Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Green Bay Rd, Kenilworth, IL 60043 Phone: 847-251-5136 Fax: 847-251-1365 | |
Freund Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 523 Park Dr, Kenilworth, IL 60043 Phone: 847-251-8990 | |
Art Carpenter Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Green Bay Rd Ste A, Kenilworth, IL 60043 Phone: 847-251-5004 | |
David S. Duda Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Green Bay Rd, Kenilworth, IL 60043 Phone: 847-251-5136 Fax: 847-251-1365 |