| Premier Dental Clinic, Llc | |
|
1264b N Lake St Aurora IL 60506-2453 | |
| (630) 801-9028 | |
| Not Available |
| Full Name | Premier Dental Clinic, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1264b N Lake St, Aurora, Illinois |
| Authorized Official Name and Position | Phil Kural (DIRECTOR DOCTOR CREDENTIALING) |
| Authorized Official Contact | 3122744526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Clinic, Llc 1264b N Lake St Aurora IL 60506-2453 Ph: () - | Premier Dental Clinic, Llc 1264b N Lake St Aurora IL 60506-2453 Ph: (630) 801-9028 |
| NPI Number | 1386815744 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386815744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024846 (Illinois) | Primary |
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› Verified 6 days ago
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