Ridge Dental Group, Ltd

NPI #1710196191 in Minooka, Illinois

Provider Information

NPI Number: 1710196191
Entity Type: Organization
Organization Name: Ridge Dental Group, Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: May 22, 2007
Last Updated: Dec 15, 2008

Practice Location

Address: 2003 RIDGE ROAD
City: Minooka
State: Illinois
ZIP Code: 60447
Phone: (815) 521-4292

Authorized Official

Name: DR. MATTHEW J FAITH, D.D.S.
Title: OWNER
Phone: (815) 521-4292

Specialties & Taxonomy Codes

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

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