MD Yorkville LLC

NPI #1679972582 in Yorkville, Illinois

Provider Information

NPI Number: 1679972582
Entity Type: Organization
Organization Name: MD Yorkville LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 15, 2014
Last Updated: Aug 15, 2014

Practice Location

Address: 728 E. VETERANS PARKWAY
Address 2: SUITE 113
City: Yorkville
State: Illinois
ZIP Code: 60560
Phone: (630) 553-2505

Authorized Official

Name: DR. ERIC MITRA, DDS
Title: MEMBER
Phone: (630) 553-2505

Specialties & Taxonomy Codes

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

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