Squaw Grove Dental

NPI #1710143243 in Hinckley, Illinois

Provider Information

NPI Number
1710143243
Entity Type
Organization
Organization Name
Squaw Grove Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 4, 2008
Last Updated
Jul 21, 2022

Practice Location

Address
165 W LINCOLN AVE
ZIP Code
60520-9207
Phone
(815) 286-3303

Authorized Official

Name
KEITH A BARNHART
Title
DDS
Phone
(815) 286-3303

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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