| U.s. Dental Group Llc | |
|
1447 Lee St Des Plaines IL 60018-1516 | |
| (847) 294-0404 | |
| Not Available |
| Full Name | U.s. Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1447 Lee St, Des Plaines, Illinois |
| Authorized Official Name and Position | Vicken Ishkhanian (MANAGER) |
| Authorized Official Contact | 1847414357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U.s. Dental Group Llc 1447 Lee St Des Plaines IL 60018-1516 Ph: (847) 294-0404 | U.s. Dental Group Llc 1447 Lee St Des Plaines IL 60018-1516 Ph: (847) 294-0404 |
| NPI Number | 1427772698 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427772698 | NPI | - | NPPES |
| 1004451 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 1 days ago
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