A Dental Place Ltd

NPI #1356617492 in Lombard, Illinois

Provider Information

NPI Number: 1356617492
Entity Type: Organization
Organization Name: A Dental Place Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 22, 2012
Last Updated: Mar 22, 2012

Practice Location

Address: 845 S MAIN ST
Address 2: SUITE 202
City: Lombard
State: Illinois
ZIP Code: 60148-3350
Phone: (630) 620-7300

Authorized Official

Name: DR. DAN FONG, DDS
Title: OWNER
Phone: (630) 620-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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