Prime Dental Associates PC

NPI #1790431278 in Johnsburg, Illinois

Provider Information

NPI Number: 1790431278
Entity Type: Organization
Organization Name: Prime Dental Associates PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 23, 2022
Last Updated: Feb 23, 2022

Practice Location

Address: 2301 W. JOHNSBURG RD
City: Johnsburg
State: Illinois
ZIP Code: 60051
Phone: (815) 385-4140

Authorized Official

Name: VIKTORIYA KUSHNIR, DMD
Title: OWNER
Phone: (815) 385-4140

Specialties & Taxonomy Codes

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

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