Associated Dental Specialists of Long Grove Ltd
NPI #1033383567 in Long Grove, Illinois
Provider Information
- NPI Number
- 1033383567
- Entity Type
- Organization
- Organization Name
- Associated Dental Specialists of Long Grove Ltd
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Apr 16, 2008
- Last Updated
- Apr 16, 2008
Practice Location
- Address
- RFD 4160
- Address 2
- GROVE MEDICAL CENTER SUITE 308
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047-9586
- Phone
- (847) 634-6166
Authorized Official
- Name
- DR. MARK L CANNON, DDS
- Title
- PRESIDENT
- Phone
- (847) 634-6166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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Individual Providers
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| Yiran Xu, DMD |  AI Deep Dive |
| Priya Katwala | AI Deep Dive |
| DR. Joseph A Tylka, DDS | AI Deep Dive |
| DR. Mark L Cannon, DDS, MS | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Professional Dental Alliance of Illinois Specialty, Pllc | AI Deep Dive |
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