| Village Square Dentistry | |
|
715 Ela Rd Ste 1a Lake Zurich IL 60047-6300 | |
| (847) 726-7908 | |
| (847) 726-7839 |
| Full Name | Village Square Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 715 Ela Rd, Lake Zurich, Illinois |
| Authorized Official Name and Position | Robert G. Brunetti (C.E.O.) |
| Authorized Official Contact | 8476401112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Square Dentistry 605 E Algonquin Rd Ste 300 Arlington Heights IL 60005-4373 Ph: (847) 640-1112 | Village Square Dentistry 715 Ela Rd Ste 1a Lake Zurich IL 60047-6300 Ph: (847) 726-7908 |
| NPI Number | 1811054059 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811054059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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