Prodentalcare

NPI #1417312612 in South Elgin, Illinois

Provider Information

NPI Number: 1417312612
Entity Type: Organization
Organization Name: Prodentalcare
Primary Specialty: Dentist
Enumeration Date: Dec 15, 2015
Last Updated: Dec 15, 2015

Practice Location

Address: 300 RANDALL RD
City: South Elgin
State: Illinois
ZIP Code: 60177-2261
Phone: (630) 883-0200

Authorized Official

Name: DR. RICK BRAR, D.D.S
Title: OWNER
Phone: (630) 883-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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