Heritage Grove Family Dental P.c.
NPI #1013336445 in Plainfield, Illinois
Provider Information
- NPI Number
- 1013336445
- Entity Type
- Organization
- Organization Name
- Heritage Grove Family Dental P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 14, 2014
- Last Updated
- Apr 14, 2014
Practice Location
- Address
- 12426 S VAN DYKE RD
- Address 2
- UNIT B
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60585-2700
- Phone
- (815) 254-1375
Authorized Official
- Name
- DR. PETE A GALLOS, DDS
- Title
- DENTIST
- Phone
- (815) 254-1375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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