Graceland Prairie Dental
NPI #1134494727 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1134494727
- Entity Type
- Organization
- Organization Name
- Graceland Prairie Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 14, 2012
- Last Updated
- Mar 14, 2012
Practice Location
- Address
- 685 GRACELAND AVE
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-4518
- Phone
- (847) 824-3536
Authorized Official
- Name
- DR. JOSEPH P BARRY, D.D.S.
- Title
- OWNER
- Phone
- (847) 824-3536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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