Colonial Dental Group

NPI #1710091673 in Glenview, Illinois

Provider Information

NPI Number: 1710091673
Entity Type: Organization
Organization Name: Colonial Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1775 GLENVIEW RD
Address 2: SUITE 107
City: Glenview
State: Illinois
ZIP Code: 60025
Phone: (847) 729-2233

Authorized Official

Name: DR. ALEXANDER QUEZADA, DDS
Title: DOCTOR
Phone: (847) 729-2233

Specialties & Taxonomy Codes

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

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