Prairie Dental Ltd. | |
23959 W Renwick Rd Plainfield IL 60544-2108 | |
(815) 439-8500 | |
(815) 439-9214 |
Full Name | Prairie Dental Ltd. |
---|---|
Speciality | Dentist |
Location | 23959 W Renwick Rd, Plainfield, Illinois |
Authorized Official Name and Position | Paul Anthony Lukawski (PRESIDENT) |
Authorized Official Contact | 8154398500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prairie Dental Ltd. 23959 W Renwick Rd Plainfield IL 60544-2108 Ph: (815) 439-8500 | Prairie Dental Ltd. 23959 W Renwick Rd Plainfield IL 60544-2108 Ph: (815) 439-8500 |
NPI Number | 1447380621 |
---|---|
Provider Enumeration Date | 03/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447380621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
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