Pg Family Dental | |
9118 Ogden Ave Unit B Brookfield IL 60513-1974 | |
(773) 516-1262 | |
Not Available |
Full Name | Pg Family Dental |
---|---|
Speciality | Dentist |
Location | 9118 Ogden Ave Unit B, Brookfield, Illinois |
Authorized Official Name and Position | Peter Andrew Drahos (DENTIST - PRESIDENT) |
Authorized Official Contact | 7735161262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pg Family Dental 9118 Ogden Ave Unit B Brookfield IL 60513-1974 Ph: (773) 516-1262 | Pg Family Dental 9118 Ogden Ave Unit B Brookfield IL 60513-1974 Ph: (773) 516-1262 |
NPI Number | 1003254947 |
---|---|
Provider Enumeration Date | 06/13/2013 |
Last Update Date | 06/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003254947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019027907 (Illinois) | Primary |
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Todd Martin, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9435 Ogden Ave, Brookfield, IL 60513 Phone: 708-486-0016 | |
Brookfield Oral Surgery, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9240 Broadway Ave, Brookfield, IL 60513 Phone: 708-680-7017 Fax: 708-419-3537 | |
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