Bloomingdale Dental Center | |
183 S Bloomingdale Rd Ste 102 Bloomingdale IL 60108-1454 | |
(224) 520-8665 | |
Not Available |
Full Name | Bloomingdale Dental Center |
---|---|
Speciality | Clinic/center - Dental |
Location | 183 S Bloomingdale Rd Ste 102, Bloomingdale, Illinois |
Authorized Official Name and Position | Kevin Fatland (MANAGER) |
Authorized Official Contact | 7089907869 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bloomingdale Dental Center 7855 Pineview Ln Frankfort IL 60423-9004 Ph: (708) 990-7869 | Bloomingdale Dental Center 183 S Bloomingdale Rd Ste 102 Bloomingdale IL 60108-1454 Ph: (224) 520-8665 |
NPI Number | 1578140794 |
---|---|
Provider Enumeration Date | 03/24/2021 |
Last Update Date | 04/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578140794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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