Prairie Valley Dental, P.c.

NPI #1346433000 in Elburn, Illinois

Provider Information

NPI Number
1346433000
Entity Type
Organization
Organization Name
Prairie Valley Dental, P.c.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 24, 2007
Last Updated
Aug 24, 2007

Practice Location

Address
108 VALLEY DR UNIT H
City
Elburn
ZIP Code
60119-8872
Phone
(630) 365-1675

Authorized Official

Name
DR. KEVIN MICHAEL ENBERG, D.D.S.
Title
PRESIDENT
Phone
(630) 365-1675

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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