Premier Dental Clinic, LLC

NPI #1386815744 in Aurora, Illinois

Provider Information

NPI Number: 1386815744
Entity Type: Organization
Organization Name: Premier Dental Clinic, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 13, 2008
Last Updated: Mar 20, 2020

Practice Location

Address: 1264B N LAKE ST
City: Aurora
State: Illinois
ZIP Code: 60506-2453
Phone: (630) 801-9028

Authorized Official

Name: PHIL KURAL
Title: DIRECTOR DOCTOR CREDENTIALING
Phone: (312) 274-4526

Specialties & Taxonomy Codes

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

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