Des Plaines Family Dentistry, LLC
NPI #1629658737 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1629658737
- Entity Type
- Organization
- Organization Name
- Des Plaines Family Dentistry, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 12, 2021
- Last Updated
- Apr 12, 2021
Practice Location
- Address
- 1695 ELK BLVD
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-4721
- Phone
- (773) 966-0505
Authorized Official
- Name
- DR. MYKOLA RUDYK
- Title
- DENTIST
- Phone
- (224) 255-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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