Innovative Dental Management

NPI #1295064541 in Lindenhurst, Illinois

Provider Information

NPI Number
1295064541
Entity Type
Organization
Organization Name
Innovative Dental Management
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 16, 2009
Last Updated
Dec 16, 2009

Practice Location

Address
2246 E GRAND AVE
ZIP Code
60046-7522
Phone
(847) 265-6444

Authorized Official

Name
MR. RAJA GOEL
Title
BUSINESS OWNER
Phone
(847) 265-6444

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
Dental Professionals of Illinois, P.c.

Part of Dental Professionals of Illinois, P.c.

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