Plainfield Pediatric Dental Care PC

NPI #1790131936 in Plainfield, Illinois

Provider Information

NPI Number
1790131936
Entity Type
Organization
Organization Name
Plainfield Pediatric Dental Care PC
Primary Specialty
Preferred Provider Organization
Enumeration Date
May 6, 2016
Last Updated
May 6, 2016

Practice Location

Address
13621 S. RT 59
Address 2
UNIT 101
ZIP Code
60544
Phone
(815) 439-2400

Authorized Official

Name
DR. VLAD FERDKOFF, D.D.S.
Title
OWNER
Phone
(847) 877-6858

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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