River Grove Dental Associates LLC
NPI #1093027658 in River Grove, Illinois
Provider Information
- NPI Number
- 1093027658
- Entity Type
- Organization
- Organization Name
- River Grove Dental Associates LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 11, 2010
- Last Updated
- Jul 11, 2010
Practice Location
- Address
- 8225 GRAND AVE
- City
- River Grove
- State
- Illinois
- ZIP Code
- 60171-1517
- Phone
- (708) 453-1110
Authorized Official
- Name
- DR. FRANK SIRACUSA, DDS
- Title
- MEMBER/ OWNER
- Phone
- (708) 453-1110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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